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Mother Lode Diagnostic Imaging Inc
Diagnostic Radiology Physician in Jackson, California
NPI 1053456061

Mother Lode Diagnostic Imaging Inc is a Diagnostic Radiology Physician based in Saginaw, CA and is specialized in Diagnostic Radiology. Mother Lode Diagnostic Imaging Inc practices in Jackson, CA. The NPI Number for Mother Lode Diagnostic Imaging Inc is 1053456061 and holds a License No. (California).

The current practice location address for Mother Lode Diagnostic Imaging Inc is 200 Mission Blvd, Jackson, CA and can be reached out via phone at 209-223-0949 and via fax at 209-223-0965.

Location: 200 Mission Blvd, Jackson, CA, 48603-0617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053456061
Provider Name
Mother Lode Diagnostic Imaging Inc
Credential
Provider Entity Type
Organization
Address
200 Mission Blvd, Jackson, CA, 48603-0617
Phone Number
209-223-0949
Fax Number
209-223-0965
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0043480 05 CA
institution
Provider Business Practice Location Address Details
Address
200 Mission Blvd
City
Jackson
State
California
Zip
95642-2564
Phone Number
209-223-0949
Fax Number
209-223-0965
person
Provider Business Mailing Address Details
Address
200 Mission Blvd
City
Jackson
State
California
Zip
95642-2564
Phone Number
209-223-0949
Fax Number
209-223-0965
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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