Organization
MIRACOR DIAGNOSTICS, INC.
Active
Other names
LAGUNA NIGUEL MRI
Organization subpart
No
Provider details
NPI number
Authorized official
GAELANE ROSINSKI CPCS (CONTRACTING/CREDENTIALING SPECIALIS)
(847) 658-0996
Entity
Organization
Contact information
Practice address
25500 RANCHO NIGUEL RD STE 140, LAGUNA NIGUEL, CA 92677-7373
(949) 362-3973
Mailing address
445 W PARKVIEW TER, ALGONQUIN, IL 60102-1950
(847) 658-0996
(847) 658-0991
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
CA
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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