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Modena Holdings, Llc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Mansfield, Texas
NPI 1669919890

Modena Holdings, Llc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Arlington, TX. Modena Holdings, Llc practices in Mansfield, TX. The NPI Number for Modena Holdings, Llc is 1669919890 and holds a License No. (Texas).

The current practice location address for Modena Holdings, Llc is 1401 Crestview Ln, Mansfield, TX and can be reached out via phone at 817-477-0942 and via fax at 817-477-4967.

Location: 1401 Crestview Ln, Mansfield, TX, 76003-3247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669919890
Provider Name
Modena Holdings, Llc
Credential
Provider Entity Type
Organization
Address
1401 Crestview Ln, Mansfield, TX, 76003-3247
Phone Number
817-477-0942
Fax Number
817-477-4967
Provider Enumeration Date
01/26/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1401 Crestview Ln
City
Mansfield
State
Texas
Zip
76063-5543
Phone Number
817-477-0942
Fax Number
817-477-4967
person
Provider Business Mailing Address Details
Address
1401 Crestview Ln
City
Mansfield
State
Texas
Zip
76063-5543
Phone Number
817-477-0942
Fax Number
817-477-4967
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
()
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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