Provider Type Icon

ENHANCED MEDICAL IMAGING OF COOS BAY LLC NPI 1902090103


NPI Information

NPI: 1902090103
Provider Name: ENHANCED MEDICAL IMAGING OF COOS BAY LLC

Doing Business As: SOUTH COAST RADIOLOGY

Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
2650 N 17TH ST
COOS BAY, OR
ZIP 97420
Phone: (541) 267-5411
Get Directions

ENHANCED MEDICAL IMAGING OF COOS BAY LLC is a physiological laboratory in Coos Bay, OR. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. ENHANCED MEDICAL IMAGING OF COOS BAY LLC NPI is 1902090103. The provider is registered as an organization entity type.
The provider Is Doing Business As South Coast Radiology.

The provider's business location address is:

2650 N 17TH ST
COOS BAY, OR
ZIP 97420-134
Phone: (541) 267-5411
Fax: (541) 267-4898

The provider's authorized official is Eric Wnuck .
The authorized official title is Ceo and has the following contact phone number (541) 267-5411.

The enumeration date for this NPI number is 8/30/2007 and was last updated on 8/30/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1293D00000XPhysiological LaboratoryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.