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Organization
ADVANCED MEDICAL XRAY INC
Active
Organization
ADVANCED MEDICAL XRAY INC
Active
Other names
MOBILE DIGITAL XRAY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAUSTO MENDEZ JR. (PRESIDENT)
(626) 303-8674
Entity
Organization
Contact information
Practice address
1330 ARROW HWY, LA VERNE, CA 91750-5218
(626) 303-8674
(909) 392-3824
Mailing address
PO BOX 7938, LA VERNE, CA 91750-7938
(626) 303-8674
(626) 256-9098
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
CA
Other
Enumeration date
04/27/2009
Last updated
10/31/2014
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