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Contact Information

CMG CLINICAL LABORATORY AND ANCILLARY SERVICES, INC.
1866 N ORANGE GROVE AVE
SUITE #101
POMONA, CA91767-3031
 Phone: 909-622-8451
 Fax: 909-620-2560
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Medicine

207U00000X 36 Physician/Nuclear Medicine
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
 

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
 

Radiology

261QR0200X 74 Radiation Therapy Center
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for CMG CLINICAL LABORATORY AND ANCILLARY SERVICES, INC.

NPI Number 1497809297
LBN Legal business name CMG CLINICAL LABORATORY AND ANCILLARY SERVICES, INC.
Authorized official ADRIENNE WALKER - (CONTRACTS ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/22/2007
Last updated 11/13/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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