Taxonomy Code 335V00000X(335v00000x)
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier. Providers: 1

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

NPI Name Type Address

1073033924

RADIOLOGIC TECHNOLOG Jensen Domingo Manabat

Individual

550 Saint Charles Dr

Thousand Oaks, CA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 335V00000X
Display Name Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Taxonomy Group Suppliers
Taxonomy Classification Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Definition 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.
Effective Date September 30, 2009
Modification Date September 30, 2009
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