Organization
NORTHERN CALIFORNIA P.E.T. IMAGING CENTER
Active
Organization
NORTHERN CALIFORNIA P.E.T. IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE HALEY (ADMINISTRATIVE DIRECTOR)
(916) 737-3214
Entity
Organization
Contact information
Practice address
3718 ATHERTON RD, ROCKLIN, CA 95765-3717
(916) 737-3211
(916) 737-6203
Mailing address
3195 FOLSOM BLVD STE 110, SACRAMENTO, CA 95816-5264
(916) 737-3211
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0088760
—
CA
Enumeration date
04/27/2023
Last updated
03/27/2025
Update your record
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