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Organization
PASSUP LLC
Active
Organization
PASSUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASSAM AL TEIR (MANAGER)
(916) 385-3637
Entity
Organization
Contact information
Practice address
9486 STONE SPRINGS DR, ELK GROVE, CA 95624-3961
(916) 385-3637
Mailing address
9486 STONE SPRINGS DR, ELK GROVE, CA 95624-3961
(916) 385-3637
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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