Organization
VALLEY METABOLIC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY R STEVENS (MEMBER MANAGER)
(949) 631-2221
Entity
Organization
Contact information
Practice address
6121 N THESTA AVE, STE 207, FRESNO, CA 93710
(559) 449-2640
(559) 432-7020
Mailing address
11100 NE 8TH ST, STE 500, BELLEVUE, WA 98004
(425) 635-4365
(425) 637-7535
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
1DTF
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1DTF00300
—
CA
Enumeration date
04/19/2006
Last updated
08/22/2020
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