Inland Empire Medical Diagnostic Imaging Services

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

1010952 Issued in CA

Legal business name

INLAND EMPIRE MEDICAL DIAGNOSTIC IMAGING SERVICES

Practice address

414 Tennessee St Ste XX
Redlands, CA 92373-8163

Phone

(909) 570-7175

NPI assigned

Apr 10, 2018

Organization subpart

No

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

Authorized official

Name

Veronica Medina

Title

Office Manager

Phone

(909) 570-7175

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1699272187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 TENNESSEE ST STE XX",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738163",
            "telephone_number": "909-570-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 TENNESSEE ST STE XX",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738163",
            "telephone_number": "909-570-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EMPIRE MEDICAL DIAGNOSTIC IMAGING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-570-7175"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "1010952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Ultrasound Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Diagnostic Ultrasound Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.