Organization
SHARP AND CHILDREN'S MRI CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL N. LOW M.D. (MEDICAL DIRECTOR)
(858) 565-0950
Entity
Organization
Contact information
Practice address
7901 FROST ST, SAN DIEGO, CA 92123-2701
(858) 939-4550
(858) 939-4596
Mailing address
PO BOX 23326, SAN DIEGO, CA 92193-3326
(858) 565-0950
(858) 244-1100
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
B1988009338
CA
261QR0200X
Radiology Clinic/Center
B1988009338
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0083814
—
CA
05
—
GR0083817
—
CA
05
—
ZZZ75341Z
—
CA
Enumeration date
11/07/2006
Last updated
04/16/2010
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