Source Diagnostics West Llc

LBN: Source Diagnostics West Llc
Source Diagnostics West Llc is an health care organization with primary practice located at 49440 Via Pompa , Lq CA 92253. The organization recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Sonography, Technologists, Technicians & Other Technical Service Providers / Vascular Sonography, Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier. Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier is the primary health care specialty. Source Diagnostics West Llc can be contacted via phone (760) 777-4352, or through Mezacapa, Paul J via phone (760) 777-4352.

Contact Information

Primary practice address
49440 Via Pompa Lq CA 92253
Phone: (760) 777-4352
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mezacapa, Paul J RT. (R) MR, CT
Phone: (760) 777-4352

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Sonography 246XS1301X
Technologists, Technicians & Other Technical Service Providers / Sonography 2471S1302X
Technologists, Technicians & Other Technical Service Providers / Vascular Sonography 2471V0105X
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 00080313 California

Profile Details

NPI number 1598063133
LBN Legal business name Source Diagnostics West Llc
DBA Doing business as
Authorized official Mezacapa, Paul J RT. (R) MR, CT
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2011
Last updated May 18th, 2011 - about 13 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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