Valley Metabolic Imaging LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

1DTF

Legal business name

VALLEY METABOLIC IMAGING LLC

Practice address

6121 N Thesta Ave
Ste 207
Fresno, CA 93710

Phone

(559) 449-2640

Fax

(559) 432-7020

NPI assigned

Apr 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clay R Stevens

Title

Member Manager

Phone

(949) 631-2221

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568427904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 NE 8TH ST",
            "address_2": "STE 500",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-635-4365",
            "fax_number": "425-637-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 N THESTA AVE",
            "address_2": "STE 207",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-449-2640",
            "fax_number": "559-432-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY METABOLIC IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "949-631-2221"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": "1DTF",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1DTF00300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valley Medical Supplies
• Valley Medical Supplies Inc.
• Valley Medical Systems, Inc. (Valley Home Care)
• Valley Medical Systems, Inc. (Valley Home Health)
• Valley Memory and Neuropsychology Center, a Psychological Corporation
• Valley Natural Health, a Naturopathic Corporation
• Valley Nephrology Medical Group
• Valley Nuclear Medical Group
• Valley Oak Oral Surgery and Dental Implant Group (Valley Oak Oral Surgery and Dental Implants)
• Valley Orthopedic Inc

• Radiology Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Radiology Clinic/Center in California

• 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.