institution
Sierra Nevada Medical Imaging
Diagnostic Radiology Physician in South Lake Tahoe, California
NPI 1255310124

Sierra Nevada Medical Imaging is a Diagnostic Radiology Physician based in Reno, CA and is specialized in Diagnostic Radiology. Sierra Nevada Medical Imaging practices in South Lake Tahoe, CA. The NPI Number for Sierra Nevada Medical Imaging is 1255310124 and holds a License No. (California).

The current practice location address for Sierra Nevada Medical Imaging is 2170 South Ave, South Lake Tahoe, CA and can be reached out via phone at 559-297-0300 and via fax at 530-542-9550.

Location: 2170 South Ave, South Lake Tahoe, CA, 89511-2533
institution
Provider Profile Details
NPI Number
1255310124
Provider Name
Sierra Nevada Medical Imaging
Credential
Provider Entity Type
Organization
Address
2170 South Ave, South Lake Tahoe, CA, 89511-2533
Phone Number
559-297-0300
Fax Number
530-542-9550
Provider Enumeration Date
01/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100507836 05 NV
CA7623 01 NV RR MEDICARE
100507852 05 NV
CA7624 01 CA RR MEDICARE
GR0099310 05 CA
institution
Provider Business Practice Location Address Details
Address
2170 South Ave
City
State
Zip
96150
Phone Number
559-297-0300
Fax Number
530-542-9550
person
Provider Business Mailing Address Details
Address
2170 South Ave
City
State
Zip
96150
Phone Number
559-297-0300
Fax Number
530-542-9550
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
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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