| NPI | 1487943874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CALVIN LEWIS Manager 408-625-0418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: CA RHF00071304) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: CA RHF00071304) |
| 261QL0400X (Licence: CA RHF00071304) | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: CA RHF00071304) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2013-07-17 |