| NPI | 1598063133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J MEZACAPA Managing Member 760-777-4352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: CA 00080313) |
| Additional Taxonomies | 246XS1301X Spec/Tech, Cardiovascular, Sonography |
| 2471V0105X Radiologic Technologist, Vascular Sonography | |
| 2471S1302X Radiologic Technologist, Sonography | |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-05-18 |