# MOBILE PICC NURSE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Precision Vascular Access
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801307822
- **Authorized official:** KEVIN ROGERS MPH (PRESIDENT/CEO)
- **Authorized official phone:** (619) 962-6985

## Contact information

- **Practice address:** 10981 SAN DIEGO MISSION RD STE 112, SAN DIEGO, CA 92108-2448
- **Practice address phone:** (619) 693-7399
- **Practice address fax:** (877) 887-9814
- **Mailing address:** 10981 SAN DIEGO MISSION RD STE 112, SAN DIEGO, CA 92108-2448
- **Mailing address phone:** (619) 693-7399
- **Mailing address fax:** (877) 887-9814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | — |

## Other

- **Enumeration date:** 10/17/2017
- **Last updated:** 07/02/2025