Organization
MERCED MRI MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN HANSEN (MANAGING EMPLOYEE)
(209) 384-4250
Entity
Organization
Contact information
Practice address
3365 G ST, SUITE 100, MERCED, CA 95340-0964
(209) 384-2121
(209) 384-4269
Mailing address
PO BOX 1350, SUISUN CITY, CA 94585-4350
(209) 384-4250
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
CA
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0041350
—
CA
Enumeration date
06/18/2006
Last updated
08/07/2025
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