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General NPI Number Information
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NPI Number | 1891649968
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Entity Type | Organization
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Legal Business Name | RADIANT MOBILE IMAGING
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 1705 FERNANDES ST
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City | MODESTO
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State | CA
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Zip | 95355-1547
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Country | US
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Telephone | 209-222-8812
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Fax |
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Provider Business Mailing Address
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Address Line | 1705 FERNANDES ST
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City | MODESTO
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State | CA
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Zip | 95355-1547
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-CEO
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Name | MELEALOHA REDOBLE
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Credential |
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Telephone | 209-222-8812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #2
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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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