Medeveop,LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

MEDEVEOP,LLC

Practice address

79440 Corporate Center Dr
Suite 118
La Quinta, CA 92253-7241

Phone

(760) 564-5011

Fax

(760) 564-7882

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Peter Solodko

Title

Ceo

Phone

(909) 887-8788

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Desert Stand-Up MRI Doing business as

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1851460646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90876",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924271876",
            "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": "79440 CORPORATE CENTER DR",
            "address_2": "SUITE 118",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537241",
            "telephone_number": "760-564-5011",
            "fax_number": "760-564-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEVEOP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "SOLODKO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-887-8788",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "00A332571",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Stand-Up MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derek Richard McGowan, CADC-I
• Esther Caroline McGowan, M.D.
• Carly McLarty, ND
• Joan McLoughlin, RN
• Edward A McMahon, 183500000X
• Elsa Medina Marmolejo
• Allison Medina
• Amanda Medina, LCSW
• Elyjah A Medina
• Jarrod William Meeks, L.V.N., W.C.C.

• Magnetic Resonance Imaging (MRI) Clinic/Center in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.