Organization Active NPI

Max Imaging, Inc.

  • Radiologic Technologist
  • Merced, CA
National Provider Identifier
1780851287
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Legal business name
MAX IMAGING, INC.
Practice address
104 Park Ave
Suite C
Merced, CA 95348-3421
Phone
(209) 382-6533
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Mr. Adam De Bard
Title
President
Phone
(209) 382-6533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 247100000X Primary

Addresses

Primary practice location

104 Park Ave
Suite C
Merced, CA 95348-3421

Mailing address

104 Park Ave
Suite C
Merced, CA 95348-3421
Phone (209) 382-6533

National Provider Directory

National Provider Directory

Locations

104 Park Ave
Ste C
Merced, CA 95348
Phone (209) 382-6533

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1780851287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PARK AVE",
            "address_2": "SUITE C",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483421",
            "telephone_number": "209-382-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PARK AVE",
            "address_2": "SUITE C",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483421",
            "telephone_number": "209-382-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "DE BARD",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-382-6533",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.