Miracor Diagnostics, Inc.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MIRACOR DIAGNOSTICS, INC.

Doing business as

LAGUNA NIGUEL MRI

Practice address

25500 Rancho Niguel Rd Ste 140
Laguna Niguel, CA 92677-7373

Phone

(949) 362-3973

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Gaelane Rosinski, CPCS

Title

Contracting/Credentialing Specialis

Phone

(847) 658-0996

Specialties & licenses 1

Addresses

Other names 1

• LAGUNA NIGUEL MRI Doing business as

Tax ID family

Miracor Diagnostics Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Miracor Diagnostics, Inc.

  • Physiological Laboratory
  • Long Beach, CA
  • NPI 1104931864
  NPD tax ID
• Miracor Diagnostics, Inc.

  • Physiological Laboratory
  • Long Beach, CA
  • NPI 1205943636
  NPD tax ID
• Miracor Diagnostics, Inc.

  • Physiological Laboratory
  • San Diego, CA
  • NPI 1508970070
  NPD tax ID

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750496501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 W PARKVIEW TER",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601021950",
            "telephone_number": "847-658-0996",
            "fax_number": "847-658-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 RANCHO NIGUEL RD STE 140",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777373",
            "telephone_number": "949-362-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACOR DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSINSKI",
        "authorized_official_first_name": "GAELANE",
        "authorized_official_title_or_position": "CONTRACTING/CREDENTIALING SPECIALIS",
        "authorized_official_telephone_number": "847-658-0996",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAGUNA NIGUEL MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mandi Kay Miller, LVN
• Sarah Miller
• Milomir Milosevich, PT
• Rachel Elizabeth Minahan, OTR
• Tricia Minty
• Mission Internal Medical Group, Inc.
• Mission Viejo Medical Clinic
• Mission Viejo Radiology Center, Inc.
• Steven Mitchell, ASW
• Melika Moeini, DMD

• Physiological Laboratory in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• 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.