Organization Active NPI

Berkeley Bone Imaging, LLC

  • Radiology Clinic/Center
  • Berkeley, CA
National Provider Identifier
1366641284
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
G63124 Issued in CA
Legal business name
BERKELEY BONE IMAGING, LLC
Practice address
3000 Colby St
Suite 107
Berkeley, CA 94705-2083
Phone
(510) 486-0166
Fax
(510) 486-0186
NPI assigned
Jul 11, 2007
Last updated
Jul 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Allison N Ahola
Title
Manager
Phone
(510) 486-0166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X G63124 CA Primary

Addresses

Primary practice location

3000 Colby St
Suite 107
Berkeley, CA 94705-2083

Mailing address

3000 Colby St
Suite 107
Berkeley, CA 94705-2083
Phone (510) 486-0166

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1366641284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST",
            "address_2": "SUITE 107",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052083",
            "telephone_number": "510-486-0166",
            "fax_number": "510-486-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST",
            "address_2": "SUITE 107",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052083",
            "telephone_number": "510-486-0166",
            "fax_number": "510-486-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY BONE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "AHOLA",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "510-486-0166"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "G63124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.