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McCormack Dental Imaging

NPI 1598137184ActiveOrganization· Dental Laboratory· La Mesa, CA

Dental Laboratory in La Mesa, California, registered in NPPES in October 2015. The authorized official on file is Jerome N. Peck, DLXT, Ceo.

Overview

NPI1598137184
StatusActive
Entity typeOrganization
NPI issuedOct 22, 2015
Last updated in NPPESOct 22, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Dental Laboratory Primary292200000XRHP00053519CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dental Laboratory providers in La Mesa

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