Organization
CMG CLINICAL LABORATORY AND ANCILLARY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE M WALKER (CONTRACTS ADMINISTRATOR)
(909) 398-1550
Entity
Organization
Contact information
Practice address
1866 N ORANGE GROVE AVE, SUITE #101, POMONA, CA 91767-3031
(909) 622-8451
(909) 620-2560
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
207UN0902X
Nuclear Imaging & Therapy Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
01/22/2007
Last updated
11/13/2023
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