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Organization
SHARP AND CHILDREN'S MRI CENTER LLC
Active
Organization
SHARP AND CHILDREN'S MRI CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL N. LOW M.D. (MEDICAL DIRECTOR)
(858) 565-0950
Entity
Organization
Contact information
Practice address
7901 FROST ST, SAN DIEGO, CA 92123-2701
(858) 939-4550
(858) 939-4596
Mailing address
PO BOX 23326, SAN DIEGO, CA 92193-3326
(858) 565-0950
(858) 244-1100
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
B1988009338
CA
261QR0200X
Radiology Clinic/Center
B1988009338
CA
Other
Enumeration date
11/07/2006
Last updated
04/16/2010
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