Lakeview Imaging LLC
Organization Active NPI Physiological Laboratory · Fawnskin, CA
NPI 1609264175 · NPPES record last updated Jan 6, 2015
Key facts
- NPI
- 1609264175
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physiological Laboratory 293D00000X
- Legal business name
- LAKEVIEW IMAGING LLC
- Practice address
- 39546 Cline Miller PL
Fawnskin, CA 92333 - Phone
- (909) 366-0779
- NPI assigned
- Jan 6, 2015
- Organization subpart
- No
Authorized official
- Name
- Dean Powell
- Title
- Owner
- Phone
- (909) 366-0779
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Yes |
Addresses
Primary practice location
39546 Cline Miller PL
Fawnskin, CA 92333
Mailing address
PO Box 346
Fawnskin, CA 92333-0346
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.