CENTRELAKE IMAGING & ONCOLOGY – NPI #1295051365
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

CENTRELAKE IMAGING & ONCOLOGY is a radiologist located in COVINA, CA. NPPES has assigned the NPI number 1295051365 to CENTRELAKE IMAGING & ONCOLOGY on April 14, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRELAKE IMAGING & ONCOLOGY” is a dba name, the actual legal business name for this organization is CENTRELAKE MEDICAL GROUP INC. 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 5 years ago on May 24, 2021. 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 CENTRELAKE IMAGING & ONCOLOGY below.

NPI Profile for
CENTRELAKE MEDICAL GROUP INC

NPI Number
1295051365
Enumeration Date

(more than 16 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
CENTRELAKE MEDICAL GROUP INC
Doing Business As (dba): CENTRELAKE IMAGING & ONCOLOGY
Primary location
1433 N HOLLENBECK AVE
SUITE 105
COVINA, CA 91722-1558
Phone: (909) 635-0411 Fax:
Mailing address
3115 E GUASTI RD
ONTARIO, CA 91761-7853
Phone: (909) 635-0411 Fax:
Organization Subpart
No
Authorized Official
AMAR LAPSI
COO
Phone: (626) 331-6866
Updated
Certification Date
May 24, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
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.