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Organization
INDEPENDENT DIAGNOSTIC TESTING INC
Active
Organization
INDEPENDENT DIAGNOSTIC TESTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED E SUFFICOOL PARAMEDIC (CEO)
(619) 461-0039
Entity
Organization
Contact information
Practice address
7877 PARKWAY DR, LA MESA, CA 91942-2000
(619) 461-0039
(619) 461-5941
Mailing address
7877 PARKWAY DR, LA MESA, CA 91942-2000
(619) 461-0039
(619) 461-5941
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
335V00000X
CA
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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