Organization Active NPI

Laguna Niguel MRI Inc.

  • Physiological Laboratory
  • Long Beach, CA
National Provider Identifier
1154427672
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
LAGUNA NIGUEL MRI INC.
Practice address
4200 E Pacific Coast Hwy
Long Beach, CA 90804-2112
Phone
(562) 498-6322
Fax
(562) 597-0978
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leslie G. Weber
Title
Coo
Phone
(858) 455-7127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

4200 E Pacific Coast Hwy
Long Beach, CA 90804-2112

Mailing address

4200 E Pacific Coast Hwy
Long Beach, CA 90804-2112
Phone (562) 498-6322

Other names 1

  • Long Beach Medical Imaging Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Laguna Niguel MRI2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154427672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 E PACIFIC COAST HWY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042112",
            "telephone_number": "562-498-6322",
            "fax_number": "562-597-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 E PACIFIC COAST HWY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042112",
            "telephone_number": "562-498-6322",
            "fax_number": "562-597-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUNA NIGUEL MRI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "858-455-7127"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Beach Medical Imaging Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.