Organization · Type 2 NPI
Source Diagnostics West LLC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Lq, CA
Practice location
49440 Via Pompa
Lq, CA 92253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sonography Specialist/Technologist Cardiovascular | 246XS1301X | None listed |
| Sonography Radiologic Technologist | 2471S1302X | None listed |
| Vascular Sonography Radiologic Technologist | 2471V0105X | None listed |
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary | 335V00000X | 00080313 (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 1598063133
Source Diagnostics West LLC's National Provider Identifier is 1598063133, issued on Mar 7, 2011. The primary taxonomy on file is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (335V00000X), and the practice location is in Lq, CA. The record was last updated on May 18, 2011.