Organization · Type 2 NPI
Home Portable X-Ray
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · San Mateo, CA
Practice location
30 So El Camino Real, Suite 109
San Mateo, CA 94401
Fax (650) 342-8379
Mailing address
801 Maple St
San Mateo, CA 94402
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 1396920047
Home Portable X-Ray's National Provider Identifier is 1396920047, issued on Dec 31, 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 Dec 31, 2007.