Organization
RIVERSIDE IMAGING LLC
Active
Other names
Computerized Diagnostic Imaging Centers Riverside
Organization subpart
No
Provider details
NPI number
Authorized official
LAVELLE R HARDIN (CREDENTIALING ANAYLEST)
(615) 344-8203
Entity
Organization
Contact information
Practice address
4000 14TH ST, SUITE 109, RIVERSIDE, CA 92501-4083
(951) 276-7500
(951) 276-7543
Mailing address
4000 14TH ST, SUITE 109, RIVERSIDE, CA 92501-4083
(951) 276-7500
(951) 276-7543
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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