Organization
DESERT POSITRON IMAGING CENTER, LLC
Active
Other names
The PET Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMI ALEXANDER (DIRECTOR OF OPERATIONS)
(760) 912-1878
Entity
Organization
Contact information
Practice address
74785 US HIGHWAY 111, SUITE 101, INDIAN WELLS, CA 92210-7128
(760) 346-4329
(760) 346-4172
Mailing address
74785 US HIGHWAY 111, SUITE 101, INDIAN WELLS, CA 92210-7128
(760) 346-4329
(760) 346-4172
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI1872
RAILROAD MEDICARE
—
01
—
ZZZ01127Z
BLUE SHIELD
—
Enumeration date
11/02/2005
Last updated
10/22/2007
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