Organization
MIRACOR DIAGNOSTICS, INC.
Active
Other names
LONG BEACH MEDICAL IMAGING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
GAELANE ROSINSKI CPCS (CONTRACTING/CREDENTIALING SPECIALIS)
847658006
Entity
Organization
Contact information
Practice address
4200 E PACIFIC COAST HWY, LONG BEACH, CA 90804-2112
(562) 498-6322
Mailing address
445 W PARKVIEW TER, ALGONQUIN, IL 60102-1950
(847) 658-0996
(847) 658-0991
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
CA
Other
Enumeration date
08/20/2006
Last updated
07/21/2022
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