OrganizationActive
San Bernardino Imaging LLC
NPI 1164423612 · Radiology Clinic/Center · San Bernardino, CA
Provider details
- NPI number
- 1164423612
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lavelle Hardin, Credentialing Coordinator(615) 344-8203
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Mammography Clinic/Center261QR0206X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1884 Business Center Dr
San Bernardino, CA 92408-3457
Phone: (909) 890-4090
Fax: (909) 890-4051
Street-level locationGet directions
Mailing address
1884 Business Center Dr
San Bernardino, CA 92408-3457
Other names (DBA / former)
- Doing business as
- Computerized Diagnostic Imaging Centers - San Bernardino
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2008-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.