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Organization
DESERT POSITRON IMAGING CENTER, LLC
Active
Organization
DESERT POSITRON IMAGING CENTER, LLC
Active
Other names
The PET Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMI ALEXANDER (DIRECTOR OF OPERATIONS)
(760) 912-1878
Entity
Organization
Contact information
Practice address
74785 US HIGHWAY 111, SUITE 101, INDIAN WELLS, CA 92210-7128
(760) 346-4329
(760) 346-4172
Mailing address
74785 US HIGHWAY 111, SUITE 101, INDIAN WELLS, CA 92210-7128
(760) 346-4329
(760) 346-4172
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI1872
RAILROAD MEDICARE
—
01
—
ZZZ01127Z
BLUE SHIELD
—
Enumeration date
11/02/2005
Last updated
10/22/2007
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