Individual provider · Type 1 NPI
Charles William Crouse, CRT
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · San Mateo, CA
Practice location
801 Maple St, 801 Maple Street
San Mateo, CA 94402-2302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary | 335V00000X | RHT3605 (CA) |
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier: A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the service…
About NPI 1093846479
Charles William Crouse, CRT's National Provider Identifier is 1093846479, issued on Mar 8, 2007. The primary taxonomy on file is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (335V00000X), and the practice location is in San Mateo, CA. The record was last updated on Jan 7, 2013.