# SCV MOBILE XRAY LLC

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

## Provider details

- **NPI number:** 1508533795
- **Authorized official:** THOMAS CLIFFORD COX (OWNER)
- **Authorized official phone:** (661) 713-7407

## Contact information

- **Practice address:** 861 BROSSARD DR, THOUSAND OAKS, CA 91360-5928
- **Practice address phone:** (661) 713-7407
- **Mailing address:** 861 BROSSARD DR, THOUSAND OAKS, CA 91360-5928
- **Mailing address phone:** (661) 713-7407

## Taxonomy

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

## Other

- **Enumeration date:** 08/25/2021
- **Last updated:** 02/02/2024