| NPI | 1104293216 |
|---|---|
| Doing Business As | CENTRELAKE IMAGING AND ONCOLOGY |
| Entity Type | Organization |
| Authorized Contact | ARVIND LAPSIWALA Owner 909-242-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: CA 282092) |
| Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: CA 282092) |
| 261QX0203X Clinic/Center, Oncology, Radiation (Licence: CA 282092) | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2021-05-24 |