Organization
PROGRESSIVE RADIOLOGY SERVICES
Active
Parent organization
PROGRESSIVE RADIOLOGY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROGRESSIVE RADIOLOGY SERVICES
Authorized official
SONJA MOELLEKEN M.D. (MEDICAL DIRECTOR)
(415) 321-4682
Entity
Organization
Contact information
Practice address
99 EL CAMINO REAL, MENLO PARK, CA 94025-5232
(650) 327-1121
Mailing address
1201 MARINA VILLAGE PKWY, SUITE 301, ALAMEDA, CA 94501-1087
(510) 865-9670
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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