Organization
COMMUNITY MOBILE DIAGNOSTICS LLC
Active
Parent organization
TRIDENTCARE
Other names
Tridentcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIDENTCARE
Authorized official
BRIAN C CUOMO (AUTHORIZED OFFICIAL/CFO)
(800) 786-8015
Entity
Organization
Contact information
Practice address
10948 BIGGE ST, SAN LEANDRO, CA 94577-1121
(510) 278-9030
(443) 842-7264
Mailing address
215 SCHILLING CIR STE 114, HUNT VALLEY, MD 21031-1113
(800) 786-8015
(410) 472-1754
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
630001699
RAILROAD MEDICARE
CA
05
—
XR055573F
—
CA
Enumeration date
10/05/2006
Last updated
03/11/2026
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