MOTHER LODE DIAGNOSTIC IMAGING INC – NPI #1053456061
Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
MOTHER LODE DIAGNOSTIC IMAGING INC is a radiologist located in JACKSON, CA. NPPES has assigned the NPI number 1053456061 to MOTHER LODE DIAGNOSTIC IMAGING INC on February 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology
The NPI profile was previously updated about 4 years ago on Oct 07, 2022. 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 MOTHER LODE DIAGNOSTIC IMAGING INC below.
NPI Profile for
MOTHER LODE DIAGNOSTIC IMAGING INC
(more than 19 years ago)
JACKSON, CA 95642-2564 Phone: (209) 223-0949 Fax: (209) 223-0965
SAGINAW, MI 48603-0617 Phone: (209) 262-1845 Fax: (989) 401-4235
PRESIDENT
Phone: (209) 223-7560
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Identifiers for MOTHER LODE DIAGNOSTIC IMAGING INC
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 | GR0043480 |
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 |
|---|---|---|
| 2085R0202X - Radiology / Diagnostic 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.