COMPUTERIZED DIAGNOSTIC IMAGING CENTERS - RIVERSIDE – NPI #1104818459
Clinic/Center

COMPUTERIZED DIAGNOSTIC IMAGING CENTERS - RIVERSIDE is an AHC clinic located in RIVERSIDE, CA. NPPES has assigned the NPI number 1104818459 to COMPUTERIZED DIAGNOSTIC IMAGING CENTERS - RIVERSIDE on August 22, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COMPUTERIZED DIAGNOSTIC IMAGING CENTERS - RIVERSIDE” is a dba name, the actual legal business name for this organization is RIVERSIDE IMAGING LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

The NPI profile was previously updated about 18 years ago on Mar 18, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMPUTERIZED DIAGNOSTIC IMAGING CENTERS - RIVERSIDE below.

NPI Profile for
RIVERSIDE IMAGING LLC

NPI Number
1104818459
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RIVERSIDE IMAGING LLC
Doing Business As (dba): COMPUTERIZED DIAGNOSTIC IMAGING CENTERS - RIVERSIDE
Primary location
4000 14TH ST
SUITE 109
RIVERSIDE, CA 92501-4083
Phone: (951) 276-7500 Fax: (951) 276-7543
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LAVELLE HARDIN
COORDINATOR
Phone: (615) 344-8203
Updated
Identifiers

Identifiers for COMPUTERIZED DIAGNOSTIC IMAGING CENTERS - RIVERSIDE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRR MEDICARECAP00380860
MEDICAIDCAIDTF00710
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.