Provider Demographics
NPI:1841254117
Name:RFD RADIOLOGY
Entity type:Organization
Organization Name:RFD RADIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE CLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-842-7164
Mailing Address - Street 1:202 LAWRENCE LN
Mailing Address - Street 2:
Mailing Address - City:YREKA
Mailing Address - State:CA
Mailing Address - Zip Code:96097-3341
Mailing Address - Country:US
Mailing Address - Phone:530-842-1267
Mailing Address - Fax:530-842-9121
Practice Address - Street 1:202 LAWRENCE LN
Practice Address - Street 2:
Practice Address - City:YREKA
Practice Address - State:CA
Practice Address - Zip Code:96097-3341
Practice Address - Country:US
Practice Address - Phone:530-842-1267
Practice Address - Fax:530-842-9121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ99608ZMedicare ID - Type UnspecifiedPROVIDER NUMBER
CAGR0022790Medicare ID - Type UnspecifiedMEDICAL PROVIDER