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General NPI Number Information
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NPI Number | 1831850361
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Entity Type | Organization
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Legal Business Name | ONSYTE IMAGING INC
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 933 S SUNSET AVE #302 SUITE 302
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City | WEST COVINA
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State | CA
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Zip | 91790
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Country | US
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Telephone | 661-435-9287
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Fax | 661-450-0055
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Provider Business Mailing Address
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Address Line | 19360 RINALDI ST # 530
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City | PORTER RANCH
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State | CA
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Zip | 91326-1607
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Country | US
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Telephone | 661-435-9287
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Fax | 661-450-0055
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Authorized Official
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Title or Position | MANAGER
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Name | LANCE JACKSON
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Credential |
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Telephone | 888-466-7983
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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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