MEDICARE: INSIDEVIEW MOBILE IMAGING

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	246XS1301X	Sonography Specialist/Technologist Cardiovascular
2	247100000X	Radiologic Technologist
3	246ZE0500X	EEG Specialist/Technologist
4	247200000X	Other Technician
5	246Z00000X	Other Specialist/Technologist
6	2471V0105X	Vascular Sonography Radiologic Technologist
7	2471S1302X	Sonography Radiologic Technologist

General Provider Information

NPI Number	:	1366754798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSIDEVIEW MOBILE IMAGING

Provider Business Mailing Address
First Line	:	10131 WHITE OAK TRAIL LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-5125
Country	:	US
Telephone Number	:	281-236-3970
Fax Number	:

Provider Business Practice Location Address
First Line	:	10131 WHITE OAK TRAIL LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-5125
Country	:	US
Telephone Number	:	281-236-3970
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CHRIS VAUGHN
Credential	:
Telephone Number	:	281-236-3970

Provider Enumeration Date	:	07/14/2010
Last Update Date	:	10/04/2012

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