Organization Active NPI

Greenroads Diagnostics Inc

  • Radiology Clinic/Center
  • San Diego, CA
National Provider Identifier
1669100863
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
GREENROADS DIAGNOSTICS INC
Practice address
3902 El Cajon Blvd Ste a
San Diego, CA 92105-1016
Phone
(888) 992-3240
Fax
(888) 992-3340
NPI assigned
Aug 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Loganathan Doraisamy
Title
President
Phone
(888) 992-3240

Specialties & licenses 1

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

Addresses

Primary practice location

3902 El Cajon Blvd Ste a
San Diego, CA 92105-1016

Mailing address

3902 El Cajon Blvd Ste a
San Diego, CA 92105-1016
Phone (888) 992-3240

Other names 1

  • Bluebeam Radiology Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wrg@bluebeamradiology.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1669100863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 EL CAJON BLVD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051016",
            "telephone_number": "888-992-3240",
            "fax_number": "888-992-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 EL CAJON BLVD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051016",
            "telephone_number": "888-992-3240",
            "fax_number": "888-992-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENROADS DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "DORAISAMY",
        "authorized_official_first_name": "LOGANATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-992-3240"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wrg@bluebeamradiology.com",
            "affiliation": "N",
            "address_1": "3902 El Cajon Blvd Ste A",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921051016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bluebeam Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.