institution
Home Portable X-ray
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in San Mateo, California
NPI 1396920047

Home Portable X-ray is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in San Mateo, CA. Home Portable X-ray practices in San Mateo, CA. The NPI Number for Home Portable X-ray is 1396920047 and holds a License No. RHT3605 (California).

The current practice location address for Home Portable X-ray is 30 So El Camino Real, San Mateo, CA and can be reached out via phone at 650-347-1880 and via fax at 650-342-8379. You can also correspond with Home Portable X-ray through the mailing address at 801 MAPLE ST, SAN MATEO, CA - 94402 (mailing address contact number: 650-703-9701).

Location: 30 So El Camino Real, San Mateo, CA, 94402
institution
Provider Profile Details
NPI Number
1396920047
Provider Name
Home Portable X-ray
Credential
Provider Entity Type
Organization
Address
30 So El Camino Real, San Mateo, CA, 94402
Phone Number
650-347-1880
Fax Number
650-342-8379
Provider Enumeration Date
12/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ31682Z 05 CA
ZZZ31682Z 01 CA MEDICARE PROV ID
ZZZ31682Z 01 CA MEDICAID PROV ID
institution
Provider Business Practice Location Address Details
Address
30 So El Camino Real
City
State
Zip
94401
Phone Number
650-347-1880
Fax Number
650-342-8379
person
Provider Business Mailing Address Details
Address
30 So El Camino Real
City
State
Zip
94401
Phone Number
650-347-1880
Fax Number
650-342-8379
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
License No.
RHT3605 (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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