Organization
RIVERSIDE MEDICAL IMAGING, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BROCKETT (CEO)
(949) 250-4500
Entity
Organization
Contact information
Practice address
10111 HOLE AVE, RIVERSIDE, CA 92503-3441
(951) 352-0555
(951) 352-9780
Mailing address
10111 HOLE AVE, RIVERSIDE, CA 92503-3441
(951) 352-0555
(951) 352-9780
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
04/05/2006
Last updated
05/24/2011
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