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Jeffrey James Todd, RT(R)
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in San Luis Obispo, California
NPI 1134171986

Jeffrey James Todd is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in San Luis Obispo, CA. Jeffrey James Todd practices in San Luis Obispo, CA and has the professional credentials of RT(R). The NPI Number for Jeffrey James Todd is 1134171986 and holds a License No. RHT 45586 (California).

The current practice location address for Jeffrey James Todd is 3170 Flora St, San Luis Obispo, CA and can be reached out via phone at 805-541-3174 and via fax at 805-541-6427.

Location: 3170 Flora St, San Luis Obispo, CA, 93406-1665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134171986
Provider Name
Jeffrey James Todd
Credential
RT(R)
Provider Entity Type
Individual
Gender
Male
Address
3170 Flora St, San Luis Obispo, CA, 93406-1665
Phone Number
805-541-3174
Fax Number
805-541-6427
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
630000525 01 GA PALMETTO GBA
ZZZ59902Z 05 CA
institution
Provider Business Practice Location Address Details
Address
3170 Flora St
City
San Luis Obispo
State
California
Zip
93401-6051
Phone Number
805-541-3174
Fax Number
805-541-6427
person
Provider Business Mailing Address Details
Address
3170 Flora St
City
San Luis Obispo
State
California
Zip
93401-6051
Phone Number
805-541-3174
Fax Number
805-541-6427
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiography
Taxonomy
2471C3402X
License No.
FAC00029014 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
RHT 45586 (California)
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.
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