Pronet Imaging Medical Group, INC.
Radiology, Diagnostic Radiology in Los Angeles, CA. Organization (NPI-2).
Details
- NPI
- 1528099488
- Entity type
- Organization (NPI-2)
- Legal business name
- Pronet Imaging Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Jul 6, 2006
- Last updated
- Jan 24, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
Practice location
1516 Cotner AveLos Angeles, CA 90025-3303
Phone 310-445-2800 · Fax 310-445-2816
Mailing address
1516 Cotner AveLos Angeles, CA 90025-3303
Phone 310-445-2800 · Fax 310-445-2816
Authorized official
John V. Crues
President
3104452800
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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