Organization · NPI-2

Northern California P.E.T. Imaging Center

Nuclear Medicine · Roseville, CA

NPI number1790734317
StatusActive
Last updated in NPPESOct 19, 2023

Details

NPI
1790734317
Entity type
Organization (NPI-2)
Legal business name
Northern California P.E.T. Imaging Center
Organization subpart
No
Enumeration date
May 9, 2006
Certification date
Oct 19, 2023
Last updated
Oct 19, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207U00000X Nuclear Medicine–CAYes

Practice location

406 Sunrise Ave
Roseville, CA 95661-4106

Phone 888-738-3211 · Fax 916-737-6203

Mailing address

3195 Folsom Blvd
Sacramento, CA 95816-5233

Phone 916-737-3211 · Fax 916-737-6203

Authorized official

Bradley Schmidt
Ceo
9167390788

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.

Other Nuclear Medicine providers in Roseville, CA