Organization
MODESTO RADIOLOGICAL MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E MOORE (COO)
(209) 342-5946
Entity
Organization
Contact information
Practice address
8673 JULIE LYNNE CIR, TRACY, CA 95304-9207
(209) 342-5946
Mailing address
PO BOX 7326, SAN FRANCISCO, CA 94120-7326
(559) 455-4009
(916) 533-0313
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
01/06/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us