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General NPI Number Information
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NPI Number | 1861978751
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Entity Type | Organization
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Legal Business Name | D-RAD MOBILE IMAGING SERVICES
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Dates
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Enumeration Date | 07/14/2018
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Last Update Date | 08/03/2021
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Provider Practice Location Address
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Address Line | 1387 GEORGE DIETER DR STE D-105
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City | EL PASO
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State | TX
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Zip | 79936-7410
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Country | US
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Telephone | 915-500-5808
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Fax | 915-232-9835
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Provider Business Mailing Address
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Address Line | 1387 GEORGE DIETER DR STE D-105
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City | EL PASO
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State | TX
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Zip | 79936-7410
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Country | US
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Telephone | 915-500-5808
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Fax | 915-232-9835
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAFAEL RODRIGUEZ
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Credential |
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Telephone | 512-994-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | GMR02001836
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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Taxonomy #4
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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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