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.
| Full Name: | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Taxonomy Code: | 335V00000X |
| Level I, Provider Grouping: | Suppliers |
| Level II, Classification: | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Info: | Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
101 E BEVERLY BLVD STE 201
Montebello, 90640-4315 California
NPI: 1043738339
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