Organization
MEDICAL CENTER MAGNETIC IMAGING, LLC
Active
Parent organization
SUTTER EAST BAY HOSPITALS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUTTER EAST BAY HOSPITALS
Authorized official
AARON ADAMS (CFO)
(510) 869-6825
Entity
Organization
Contact information
Practice address
3000 TELEGRAPH AVE, OAKLAND, CA 94609-3218
(510) 869-8777
(510) 893-0332
Mailing address
3000 TELEGRAPH AVE, OAKLAND, CA 94609-3218
(510) 869-8777
(510) 893-0332
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FG666A
MEDICARE PTAN - PETCT AND CT
—
01
—
P00118317
RAILROAD MEDICARE
CA
01
—
ZZZ27496Z
MEDICARE PTAN - MRI
—
Enumeration date
02/05/2007
Last updated
11/29/2011
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