Provider Demographics
NPI:1851802565
Name:M D IMAGING, INC.
Entity Type:Organization
Organization Name:M D IMAGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SLEPICKA
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:530-243-1236
Mailing Address - Street 1:PO BOX 849976
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90084-9976
Mailing Address - Country:US
Mailing Address - Phone:530-243-1236
Mailing Address - Fax:530-229-3703
Practice Address - Street 1:2020 COURT ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1822
Practice Address - Country:US
Practice Address - Phone:530-243-1236
Practice Address - Fax:530-229-3703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-20
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology