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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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