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Northern Inyo Healthcare District

Radiology, Diagnostic Radiology in Bishop, CA. Organization (NPI-2).

NPI number1679997175
StatusActive
Last updated in NPPESApr 29, 2025

Details

NPI
1679997175
Entity type
Organization (NPI-2)
Legal business name
Northern Inyo Healthcare District
Organization subpart
No
Enumeration date
Feb 5, 2014
Certification date
Apr 29, 2025
Last updated
Apr 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology240000179CAYes

Practice location

150 Pioneer Ln
Bishop, CA 93514-2556

Phone 760-873-5811

Mailing address

150 Pioneer Ln
Bishop, CA 93514-2556

Phone 760-873-5811

Authorized official

Christian Wallis
Chief Executive Officer
7608732838

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