Organization Active NPI

Hallmark MRI LLC

Doing business as Hallmark Standup MRI

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • San Bernardino, CA
National Provider Identifier
1821167677
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
HALLMARK MRI LLC
Doing business as
Hallmark Standup MRI
Practice address
4130 Hallmark Pkwy
Suite B
San Bernardino, CA 92407-1877
Phone
(909) 473-1944
Fax
(909) 473-1130
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Tom Colicchio
Title
Director
Phone
(909) 887-8788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

4130 Hallmark Pkwy
Suite B
San Bernardino, CA 92407-1877

Mailing address

PO Box 90875
San Bernardino, CA 92427-1875
Phone (909) 887-8788

Other identifiers 1

IdentifierTypeStateIssuer
00A332570MedicaidCA

Other names 1

  • Hallmark Standup MRI Doing business as

National Provider Directory

National Provider Directory

Locations

4130 Hallmark Pkwy
Ste B
Sn Bernrdno, CA 92407
Phone (909) 473-1944

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1821167677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90875",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924271875",
            "telephone_number": "909-887-8788",
            "fax_number": "909-887-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 HALLMARK PKWY",
            "address_2": "SUITE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924071877",
            "telephone_number": "909-473-1944",
            "fax_number": "909-473-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLMARK MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "COLICCHIO",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-887-8788"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A332570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hallmark Standup MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.