PETALUMA OPEN MRI – NPI #1588663124
Physiological Laboratory
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
PETALUMA OPEN MRI is a physiological laboratory located in PETALUMA, CA. NPPES has assigned the NPI number 1588663124 to PETALUMA OPEN MRI on July 15, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PETALUMA OPEN MRI” is a dba name, the actual legal business name for this organization is COL NORTH CALIFORNIA, LLC. The primary taxonomy selected by this provider is 293D00000X from the Health Care Provider Taxonomy code set, which is classified as Physiological Laboratory.
The NPI profile was previously updated about 11 years ago on Mar 03, 2015. 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 PETALUMA OPEN MRI below.
NPI Profile for
COL NORTH CALIFORNIA, LLC
(about 21 years ago)
SUITE 102
PETALUMA, CA 94954-2372 Phone: (707) 766-7074 Fax: (707) 766-7075
MANAGING MEMBER
Phone: (337) 291-9161
Identifiers for PETALUMA OPEN MRI
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | CA | GR004920D |
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 |
|---|---|---|
| 293D00000X - Physiological Laboratory (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.