Organization
NORTHERN CALIFORNIA P.E.T. IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY SCHMIDT (CEO)
(916) 739-0788
Entity
Organization
Contact information
Practice address
406 SUNRISE AVE, ROSEVILLE, CA 95661-4106
(888) 738-3211
(916) 737-6203
Mailing address
3195 FOLSOM BLVD, SACRAMENTO, CA 95816-5233
(916) 737-3211
(916) 737-6203
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0088760
—
CA
Enumeration date
05/09/2006
Last updated
10/19/2023
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