Provider Demographics
NPI:1952611394
Name:NUCLEAR MEDICINE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:NUCLEAR MEDICINE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:PACE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-637-1313
Mailing Address - Street 1:2438 N PONDEROSA DR
Mailing Address - Street 2:BUILDING C, SUITE #201
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-2369
Mailing Address - Country:US
Mailing Address - Phone:805-484-4612
Mailing Address - Fax:805-965-6712
Practice Address - Street 1:2438 N PONDEROSA DR
Practice Address - Street 2:BUILDING C, SUITE #201
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-2369
Practice Address - Country:US
Practice Address - Phone:805-484-4612
Practice Address - Fax:805-965-6712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear MedicineGroup - Single Specialty