Souk Luangsrinhotha Modesto Mobile Imaging Services

LBN: Souk Luangsrinhotha Modesto Mobile Imaging Services
Souk Luangsrinhotha Modesto Mobile Imaging Services is an health care organization with primary practice located at 5021 Rosso Ct , Salida CA 95368-9066. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Sonography, which is considered as the primary health care specialty. Souk Luangsrinhotha Modesto Mobile Imaging Services can be contacted via phone (209) 855-6900, or through Luangsrinhotha, Souk via phone (209) 855-6900.

Contact Information

Primary practice address
5021 Rosso Ct Salida CA 95368-9066
Phone: (209) 855-6900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Luangsrinhotha, Souk R.T(R)(CT)(ARRT)
Phone: (209) 855-6900

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Sonography 2471S1302X

Profile Details

NPI number 1548810336
LBN Legal business name Souk Luangsrinhotha Modesto Mobile Imaging Services
DBA Doing business as
Authorized official Luangsrinhotha, Souk R.T(R)(CT)(ARRT)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2019
Last updated Sep 13th, 2019 - about 6 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 1548810336 NPPES
California MEDICAID 1972090652

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