Organization Name: | OSTEOPOROSIS DIAGNOSTIC CENTER |
NPI Number: | 1003963299 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GENA C PENNINGTON (PARTNER) |
Mailing Address: | 2773 Harris St Suite F Eureka |
State: | CA US |
Postal Code: | 955034866 |
Phone Number: | 7074451600 |
Fax Number: | 7074453778 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471B0102X |
License Number: | C034152 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Bone Densitometry |
Taxonomy Definition: |