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Organization
FUSION DIAGNOSTIC GROUP LLC
Active
Organization
FUSION DIAGNOSTIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK V DIMARTINO (EVP CFO OF MEMBER)
(206) 272-3580
Entity
Organization
Contact information
Practice address
1700 CALIFORNIA STREET, SUITE 260, SAN FRANCISCO, CA 94109
(415) 921-7226
(415) 921-7225
Mailing address
PO BOX 94592, SEATTLE, WA 98124-6892
(800) 362-9772
(206) 272-3599
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470001751
RAILROAD MEDICARE
—
05
—
IDTF00290
—
CA
Enumeration date
04/19/2006
Last updated
10/20/2008
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