Temecula Valley Molecular Imaging Center

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

7603-33 Issued in CA

Legal business name

TEMECULA VALLEY MOLECULAR IMAGING CENTER

Practice address

25470 Medical Center Drive
Suite 101
Murrieta, CA 92562

Phone

(909) 260-7856

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Jim Corlett

Title

Ceo

Phone

(949) 798-9225

Specialties & licenses 1

Addresses

Tax ID family

Temecula Valley Molecular Imaging2 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.

• Temecula Valley Molecular Imaging

  • Mobile Radiology Clinic/Center
  • Murrieta, CA
  • NPI 1518141449
  NPD tax ID

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659418192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 101",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "909-260-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 101",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "909-260-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMECULA VALLEY MOLECULAR IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORLETT",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-798-9225"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CA",
            "license": "7603-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Temecula Valley Day Surgery & Pain Therapy Center, Inc.
• Temecula Valley Emergency Medical Associates
• Temecula Valley Facial & Oral Surgery Center
• Temecula Valley Micro Endodontics
• Temecula Valley Molecular Imaging
• Temecula Valley Neurosurgery Inc
• Temecula Valley Nuclear Medical Corporation
• Temecula Valley OB GYN Medical Associates, Inc.
• Temecula Valley Pain Medical Group
• Temecula Valley Physical Therapy

• All providers in Murrieta, CA
• Physiological Laboratory 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.