# LANDES MOBILE X-RAY CORP

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

## Provider details

- **NPI number:** 1710158449
- **Authorized official:** AMANDEEP SINGH (OWNER/PRESIDENT)
- **Authorized official phone:** (408) 406-6890

## Contact information

- **Practice address:** 2096 FELSINA AVE, MANTECA, CA 95337-8111
- **Practice address phone:** (209) 572-5888
- **Practice address fax:** (209) 543-0923
- **Mailing address:** 2096 FELSINA AVE, MANTECA, CA 95337-8111
- **Mailing address phone:** (209) 572-5888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247100000X | Radiologic Technologist | RHT42681 | CA | — |
| 2471C3402X | Radiography Radiologic Technologist | — | NULL | — |
| 2471C3402X | Radiography Radiologic Technologist | — | — | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 03/20/2008
- **Last updated:** 03/08/2023