Organization
ORTHOPEDIC IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY GRAMES MD (MANAGING PARTNER)
(909) 557-1600
Entity
Organization
Contact information
Practice address
1901 W LUGONIA AVE, SUITE 110, REDLANDS, CA 92374
(909) 557-1690
(909) 557-1735
Mailing address
PO BOX 8820, REDLANDS, CA 92375-2020
(909) 557-1690
(909) 557-1735
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ZZZ31558Z
CA
Other
Enumeration date
07/09/2006
Last updated
01/09/2012
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