| S C Medical Imaging | |
|
6 Hughes Suite 100-150 Irvine CA 92618-2059 | |
| (949) 680-1907 | |
| Not Available |
| Full Name | S C Medical Imaging |
|---|---|
| Speciality | Radiologic Technologist - Computed Tomography |
| Location | 6 Hughes, Irvine, California |
| Authorized Official Name and Position | Leigh Erin Connealy (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 9496801907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S C Medical Imaging 55 Vernal Spg Irvine CA 92603-0404 Ph: (949) 680-1907 | S C Medical Imaging 6 Hughes Suite 100-150 Irvine CA 92618-2059 Ph: (949) 680-1907 |
| NPI Number | 1801095427 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801095427 | NPI | - | NPPES |
| BUS06-02166 | Other | CITY OF IRVINE BUSINESS L | |
| G57433 | Other | CA | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 2471C3401X | Radiologic Technologist - Computed Tomography | BUS06-02166 (California) | Primary |
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