MEDICARE: ALAMO MOBILE X RAY & EKG SERVICES, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447366166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAMO MOBILE X RAY & EKG SERVICES, INC.

Provider Business Mailing Address
First Line	:	4400 S PIEDRAS DR
Second Line	:	STE 140
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1223
Country	:	US
Telephone Number	:	210-735-7889
Fax Number	:	210-735-3060

Provider Business Practice Location Address
First Line	:	4400 PIEDRAS DR S
Second Line	:	STE 140
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1223
Country	:	US
Telephone Number	:	210-735-7889
Fax Number	:	210-735-3060

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. SAMUEL WEINBERG
Credential	:
Telephone Number	:	210-735-7889

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	09/05/2014

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