Miracor Diagnostics, Inc.

Physiological Laboratory · Long Beach, CA

Organization Active NPI

NPI number 1104931864

Practice location

4200 E Pacific Coast Hwy
Long Beach, CA 90804-2112
Phone
(562) 498-6322

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NPI record

NPI
1104931864
Entity type
Organization (Type 2)
Enumeration date
August 20, 2006
Last updated
July 21, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physiological Laboratory Primary 293D00000X — CA

Mailing address

445 W Parkview Ter
Algonquin, IL 60102-1950
Phone
(847) 658-0996
Fax
(847) 658-0991

Authorized official

Name
Gaelane Rosinski, CPCS
Title
Contracting/Credentialing Specialis
Phone
847658006

Other names

  • Long Beach Medical Imaging Center

About Miracor Diagnostics, Inc.

Miracor Diagnostics, Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Physiological Laboratory (code 293D00000X). The practice location is 4200 E Pacific Coast Hwy, Long Beach, CA 90804-2112. The NPI number 1104931864 was assigned on August 20, 2006 and the record was last updated on July 21, 2022.

The authorized official for this organization is Gaelane Rosinski, CPCS, Contracting/Credentialing Specialis.

Frequently asked questions

What is the NPI number of Miracor Diagnostics, Inc.?

The NPI number is 1104931864.

What is the phone number of Miracor Diagnostics, Inc.?

The phone number listed for the practice location is (562) 498-6322.

Where is Miracor Diagnostics, Inc. located?

4200 E Pacific Coast Hwy, Long Beach, CA 90804-2112.

What is the taxonomy code for Miracor Diagnostics, Inc.?

The primary taxonomy code is 293D00000X – Physiological Laboratory.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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