Home Portable X-Ray

LBN: Home Portable X-Ray
Home Portable X-Ray is an health care organization with primary practice located at 30 So El Camino Real Suite 109, San Mateo CA 94401. The organization recently has only one registered license in Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, which is considered as the primary health care specialty. Home Portable X-Ray can be contacted via phone (650) 347-1880, or through Crouse, Charles Wm via phone (650) 347-1880.

Contact Information

Primary practice address
30 So El Camino Real Suite 109 San Mateo CA 94401
Phone: (650) 347-1880
Fax: (650) 342-8379
Website:
Map and Directions
Authorized official contact:
Name: Crouse, Charles Wm Certified Respiratory Therapist (CRT)
Phone: (650) 347-1880

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X RHT3605 California

Profile Details

NPI number 1396920047
LBN Legal business name Home Portable X-Ray
DBA Doing business as
Authorized official Crouse, Charles Wm Certified Respiratory Therapist (CRT)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2007
Last updated Dec 31st, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396920047 NPPES
California MEDICAID ZZZ31682Z
California Other ZZZ31682Z
California Other ZZZ31682Z

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