| Organization Name: | MERCED OPEN IMAGING, INC. |
| NPI Number: | 1407881972 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK ROSS GOLDBERG (OWNER) |
| Mailing Address: | 1700 Keystone Pacific Pkwy Patterson |
| State: | CA US |
| Postal Code: | 953638874 |
| Phone Number: | 2098462753 |
| Fax Number: | 2098563921 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 05/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | FAC00075001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |