MRI OF SAN LUIS OBISPO – NPI #1881661361
Clinic/Center

MRI OF SAN LUIS OBISPO is an AHC clinic located in SAN LUIS OBISPO, CA. NPPES has assigned the NPI number 1881661361 to MRI OF SAN LUIS OBISPO on March 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MRI OF SAN LUIS OBISPO” is a dba name, the actual legal business name for this organization is RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO. 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 19 years ago on Dec 05, 2007. 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 MRI OF SAN LUIS OBISPO below.

NPI Profile for
RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO

NPI Number
1881661361
Enumeration Date

(more than 20 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
RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO
Doing Business As (dba): MRI OF SAN LUIS OBISPO
Primary location
1064 MURRAY AVE
SAN LUIS OBISPO, CA 93405
Phone: (805) 543-5674 Fax: (805) 543-5818
Mailing address
PO BOX 2920
ATASCADERO, CA 93423-2920
Phone: (805) 461-7080 Fax: (805) 464-0243
Organization Subpart
Yes - MRI OF SAN LUIS OBISPO is subpart of another organization.
Authorized Official
WILLIAM RUSSELL
MANAGING PARTNER
Phone: (805) 461-7080
Updated
Identifiers

Identifiers for MRI OF SAN LUIS OBISPO

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
MEDICAIDCAGR0009773
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.

Taxonomy Classification / Specialization State License
261QR0200X
- Clinic/Center / Radiology (Primary)

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.