Organization
IMAGING HEALTHCARE SPECIALISTS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS D CLEARY (PRESIDENT & CEO)
(866) 558-4320
Entity
Organization
Contact information
Practice address
6256 GREENWICH DR, SUITE 150, SAN DIEGO, CA 92122-5941
(866) 558-4320
(619) 294-8399
Mailing address
FILE 1317 1801 W OLYMPIC BLVD, PASADENA, CA 91199-1317
(888) 927-8018
(800) 508-4751
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0103680
—
CA
05
—
GR0103681
—
CA
05
—
GR0103682
—
CA
05
—
GR0103683
—
CA
05
—
GR0103684
—
CA
05
—
GR0103685
—
CA
05
—
GR0103686
—
CA
05
—
GR0103687
—
CA
05
—
GR0103688
—
CA
05
—
GR0103689
—
CA
05
—
GR010368A
—
CA
05
—
GR010368B
—
CA
05
—
GR010368C
—
CA
05
—
GR010368D
—
CA
Enumeration date
08/24/2006
Last updated
10/29/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up