MR. CRT Charles William Crouse, NPI 1093846479
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in San Mateo, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1093846479
NPI Entity Type Individual
Provider Name MR. CRT Charles William Crouse
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 801 Maple St, 801 Maple Street, San Mateo, CA, US
Provider Mailing Address 801 Maple St, 801 Maple Streett, San Mateo, CA, US, 944022302
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

335V00000X

Taxonomy Name Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Classification

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Group

Suppliers

License No. RHT3605
License State CA
Description 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 services are performed.

Business Address

MR. CRT Charles William Crouse
801 Maple St
801 Maple Street

San Mateo, CA, US

Phone: 650-347-1880

Mailing Address

MR. CRT Charles William Crouse
801 Maple St
801 Maple Streett
San Mateo, CA, US
ZIP 944022302
Phone: 650-347-1880
Fax: 650-342-8379

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