MEDICARE: S&S LIFE SCAN CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0208X	Mobile Radiology Clinic/Center

General Provider Information

NPI Number	:	1770066359
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S&S LIFE SCAN CORP

Provider Business Mailing Address
First Line	:	4777 PARKMOUNT DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-5489
Country	:	US
Telephone Number	:	786-857-2955
Fax Number	:	888-403-7226

Provider Business Practice Location Address
First Line	:	1184 W PIONEER PKWY STE 1184
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6367
Country	:	US
Telephone Number	:	888-403-7226
Fax Number	:	888-403-7226

Authorized Official
Title or Position	:	CEO
Name	:	LENIER GARCIA GARCIA
Credential	:	RDMS, RVT, RDCS
Telephone Number	:	888-403-7226

Provider Enumeration Date	:	09/10/2018
Last Update Date	:	01/19/2026

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Directions to “S&S LIFE SCAN CORP ” Practice Location

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