Organization
MOLECULAR IMAGING CORPORATION
Active
Organization
MOLECULAR IMAGING CORPORATION
Active
Other names
MBPT NO. 1 LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH C FREDERICK (CEO)
(858) 642-0032
Entity
Organization
Contact information
Practice address
350 TERRACINA BLVD, REDLANDS, CA 92373-4850
(909) 335-5500
Mailing address
9530 TOWNE CENTRE DR, SUITE 120, SAN DIEGO, CA 92121-1981
(858) 642-0032
(858) 642-0052
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
481952
CA
Other
Enumeration date
05/05/2006
Last updated
09/06/2023
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