# NOMAD RADIOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134721830
- **Authorized official:** JOHN MICHAEL GYVES (OWNER)
- **Authorized official phone:** (760) 583-8137

## Contact information

- **Practice address:** 8929 UNIVERSITY CENTER LN \# 203, SAN DIEGO, CA 92122-1006
- **Practice address phone:** (760) 583-8137
- **Mailing address:** 8929 UNIVERSITY CENTER LN \# 203, SAN DIEGO, CA 92122-1006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 11/09/2020
- **Last updated:** 12/06/2022