Organization
MOTHER LODE DIAGNOSTIC IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BATXER RICHARDSON MD (PRESIDENT)
(209) 223-7560
Entity
Organization
Contact information
Practice address
200 MISSION BLVD, JACKSON, CA 95642-2564
(209) 223-0949
(209) 223-0965
Mailing address
PO BOX 5617, SAGINAW, MI 48603-0617
(209) 262-1845
(989) 401-4235
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0043480
—
CA
Enumeration date
02/20/2007
Last updated
10/07/2022
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