Organization Name: | MAGNETIC RESONANCE IMAGING OF SAN LUIS OBISPO, INC. |
NPI Number: | 1003187881 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET) |
Mailing Address: | 1064 Murray Ave San Luis Obispo |
State: | CA US |
Postal Code: | 934051806 |
Phone Number: | 8055435674 |
Fax Number: | 8055435818 |
NPI Enumeration Date: | 01/25/2012 |
NPI Last Update Date: | 06/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |