Advantage MRI Roseville LP
Organization Active NPI Magnetic Resonance Imaging (MRI) Clinic/Center · Roseville, CA
NPI 1346775665 · NPPES record last updated Jul 13, 2017
Key facts
- NPI
- 1346775665
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
- Legal business name
- ADVANTAGE MRI ROSEVILLE LP
- Practice address
- 2990 Lava Ridge CT
Suite100
Roseville, CA 95661-3057 - Phone
- (916) 929-2178
- Fax
- (916) 929-2178
- NPI assigned
- Apr 24, 2017
- Organization subpart
- No
Authorized official
- Name
- Miss Hannah Schwartz
- Title
- Cfo
- Phone
- (714) 479-0400
Practitioners 2
-
David Hyun Min Kim, M.D.
-
Anita M. Bajaj, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170530002515 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 6406123157 | Practice locations: Roseville, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | Yes |
Addresses
Primary practice location
2990 Lava Ridge CT
Suite100
Roseville, CA 95661-3057
Mailing address
2990 Lava Ridge CT
Suite100
Roseville, CA 95661-3057
Phone (916) 929-2178
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All providers in Roseville, CA · Magnetic Resonance Imaging (MRI) Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.