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General NPI Number Information
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NPI Number | 1194671073
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Entity Type | Organization
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Legal Business Name | SKYLINE IMAGING LLC
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 9340 FOOTHILL BLVD TRLR 81
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3559
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Country | US
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Telephone | 909-833-0535
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Fax |
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Provider Business Mailing Address
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Address Line | 9340 FOOTHILL BLVD TRLR 81
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3559
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Country | US
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Telephone | 909-833-0535
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN URBINA
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Credential | RT(R)
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Telephone | 910-459-9956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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