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Organization
EL DORADO IMAGING LLC
Active
Organization
EL DORADO IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE RONDONE (OWNER/RADIOGRAPHER)
(916) 827-0809
Entity
Organization
Contact information
Practice address
2574 RALEIGH WAY, EL DORADO HILLS, CA 95762-6973
(916) 715-7374
Mailing address
2574 RALEIGH WAY, EL DORADO HILLS, CA 95762-6973
(916) 715-7374
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
NULL
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
Other
Enumeration date
12/08/2020
Last updated
03/30/2021
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