Organization
COURT STREET IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WADE NAKATANI RHF (GENERAL MANAGER)
(530) 241-8633
Entity
Organization
Contact information
Practice address
1755 COURT ST, REDDING, CA 96001-1721
(530) 241-8633
(530) 241-9020
Mailing address
1755 COURT ST, REDDING, CA 96001-1721
(530) 241-8633
(530) 241-9020
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
RHT60057
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IDTF00020
—
CA
Enumeration date
08/23/2006
Last updated
08/22/2020
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