Organization
MEDEVEOP,LLC
Active
Other names
Desert Stand-Up MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER SOLODKO (CEO)
(909) 887-8788
Entity
Organization
Contact information
Practice address
79440 CORPORATE CENTER DR, SUITE 118, LA QUINTA, CA 92253-7241
(760) 564-5011
(760) 564-7882
Mailing address
PO BOX 90876, SAN BERNARDINO, CA 92427-1876
(909) 887-8788
(909) 887-6345
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A332571
—
CA
Enumeration date
11/07/2006
Last updated
10/31/2007
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