Organization
NATIONAL MRI, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF M VANDEVER (MEDICAL BILLER/ COLLECTOR)
(562) 988-2074
Entity
Organization
Contact information
Practice address
701 E 28TH ST, LONG BEACH, CA 90806-2759
(562) 988-2074
(562) 988-2037
Mailing address
3605 LONG BEACH BLVD #306, LONG BEACH, CA 90807
(562) 988-2074
(562) 988-2037
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
G170420
CA
Other
Enumeration date
07/07/2006
Last updated
08/22/2020
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