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Prowave Diagnostics Llc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Ridgedale, Missouri
NPI 1265786305

Prowave Diagnostics Llc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Ridgedale, MO. Prowave Diagnostics Llc practices in Ridgedale, MO. The NPI Number for Prowave Diagnostics Llc is 1265786305 and holds a License No. (Missouri).

The current practice location address for Prowave Diagnostics Llc is 238 Peach Ln, Ridgedale, MO and can be reached out via phone at 831-477-6633.

Location: 238 Peach Ln, Ridgedale, MO, 65739-0130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265786305
Provider Name
Prowave Diagnostics Llc
Credential
Provider Entity Type
Organization
Address
238 Peach Ln, Ridgedale, MO, 65739-0130
Phone Number
831-477-6633
Fax Number
Provider Enumeration Date
10/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
238 Peach Ln
City
Ridgedale
State
Missouri
Zip
65739-4182
Phone Number
831-477-6633
Fax Number
person
Provider Business Mailing Address Details
Address
238 Peach Ln
City
Ridgedale
State
Missouri
Zip
65739-4182
Phone Number
831-477-6633
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
(Missouri)
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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