SOUTHWEST MEDICAL IMAGING (NPI# 1053599126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053599126 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST MEDICAL IMAGING |
| Other Organization Name | SOUTHWEST MEDICAL IMAGING |
| Practice Address |
1630 La Ramada Ave Arcadia CA 91006-1822 |
| Mailing Address |
Po Box 660806 Arcadia CA 91066-0806 |
| Practice Telephone | 6264474477 |
| Practice Fax Number | 6263556962 |
| Mailing Telephone | 6264474477 |
| Mailing Fax Number | 6263556962 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |
| Authorized Official Name | MR. ROBERT S. WIEGAND (SONAGRAPHER) |
| Authorized Official Telephone | 6264474477 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
RHT21079 | CA | Ambulatory Health Care Facilities |
| N | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | RHT 21079 | CA | Suppliers |
| Y | 293D00000X | Physiological Laboratory | RHT 21079 | CA | Laboratories |
| Other Name | Type Code |
|---|---|
| Southwest Medical Imaging | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SOUTHWEST MEDICAL IMAGING P.C. | 147 East Merrick Road, Valley Stream, New York 11580 |
| Street Address |
1630 LA RAMADA AVE |
| City | ARCADIA |
| State | CA |
| Zip Code | 91006-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336297282 | Thomas Zung | Radiology | 1630 La Ramada Ave, Arcadia, CA 91006-1822 | 2007-01-08 |
| 1659588168 | Robert S. Wiegand | Radiologic Technologist | 1630 La Ramada Ave, Arcadia, CA 91006-1822 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225510696 | Sheri Shanese Calhoun | Social Worker | 330 E. Live Oak Avenue, Arcadia, CA 91006 | 2018-09-03 |
| 1083129639 | Song Han | Acupuncturist | 14 El Dorado Street, Suite 15, Arcadia, CA 91006 | 2017-12-05 |
| 1154842177 | Cathleen Noel Walsh | Nurse Practitioner | 815 E. Longden Ave, Arcadia, CA 91006 | 2017-06-29 |
| 1881146512 | Mitchell Gee | Pharmacist | 2124 Highland Oaks Dr, Arcadia, CA 91006 | 2016-10-28 |
| 1487003059 | Michael Stewart | Case Manager/Care Coordinator | 800 S. Santa Anita Ave., Arcadia, CA 91006 | 2016-06-06 |
| 1639525983 | Alex Yu | Chiropractor | 202 S. First Ave, Arcadia, CA 91006 | 2016-05-05 |
| 1447637731 | Angel Care Hospice of Arcadia, Inc. | Respite Care | 4115 E Live Oak Ave, Arcadia, CA 91006 | 2015-05-06 |
| 1588050678 | Joel Lim | Internal Medicine | 440 E Huntington Dr Ste 200, Arcadia, CA 91006 | 2015-04-15 |
| 1427497981 | White Wings Hospice Inc | Hospice Care, Community Based | 333 N Santa Anita Ave Ste 5, Arcadia, CA 91006 | 2013-06-18 |
| 1649511551 | Margaret Lihani | Social Worker | 41 E. Foothill Blvd., Suite 200-a, Arcadia, CA 91006 | 2013-03-04 |
| Find all providers in zip 91006 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508581 | Alivecor Labs LLC | Physiological Laboratory | 444 Castro St, Mountain View, CA 94041-2017 | 2020-11-02 |
| 1821604265 | Arvia Diagnostics, Inc. | Physiological Laboratory | 356 E Olive Ave Ste 108, Burbank, CA 91502-1261 | 2020-09-21 |
| 1003429945 | Akaal Organics LLC | Physiological Laboratory | 1730 Canal Ave, Long Beach, CA 90813-1223 | 2020-08-29 |
| 1447803861 | Marin Petct Imaging, LLC | Physiological Laboratory | 4000 Civic Center Dr Ste 110, San Rafael, CA 94903-5232 | 2019-07-24 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1598238834 | Laboratory Environment LLC | Physiological Laboratory | 1436 S La Cienega Blvd Ste 208, Los Angeles, CA 90035-3761 | 2019-01-09 |
| 1508336371 | Ultratech Services | Physiological Laboratory | 118 W Stocker St # 3, Glendale, CA 91202-2509 | 2018-12-04 |
| 1710457015 | Peak Pulmonary Services LLC | Physiological Laboratory | 1447 Blue Jay Ct, Tracy, CA 95376-8353 | 2018-11-29 |
| 1306313648 | O.n. Diagnostics, LLC | Physiological Laboratory | 2150 Shattuck Ave Ste 610, Berkeley, CA 94704-1347 | 2018-10-24 |
| 1447731948 | Fountain Valley Regional Sleep Center LLC | Physiological Laboratory | 24953 Paseo De Valencia Ste 3a, Laguna Hills, CA 92653-4342 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTHWEST MEDICAL IMAGING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.