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Organization
RAD-IMAGE MEDICAL GROUP INC
Active
Organization
RAD-IMAGE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAGDISH M PATEL MD (PRESIDENT)
(562) 590-7400
Entity
Organization
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH MEMORIAL MEDICAL CENTER, LONG BEACH, CA 90806-1737
(562) 933-2000
Mailing address
100 OCEANGATE, STE 1000, LONG BEACH, CA 90802-4312
(562) 590-7400
(562) 590-7452
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085N0700X
Neuroradiology Physician
Primary
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0010881
MEDICAL
CA
01
—
GR0010882
MEDICAL
CA
01
—
GR0020883
MEDICAL
CA
01
—
ZZZ64951Z
BLUE SHIELD
CA
01
—
ZZZ64952Z
BLUE SHIELD
CA
01
—
ZZZ94679Z
BLUE SHIELD
CA
Enumeration date
12/15/2005
Last updated
09/11/2025
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