Organization
SOUTHWEST MEDICAL IMAGING
Active
Other names
Southwest Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT S. WIEGAND (SONAGRAPHER)
(626) 447-4477
Entity
Organization
Contact information
Practice address
1630 LA RAMADA AVE, ARCADIA, CA 91006-1822
(626) 447-4477
(626) 355-6962
Mailing address
PO BOX 660806, ARCADIA, CA 91066-0806
(626) 447-4477
(626) 355-6962
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
RHT21079
CA
293D00000X
Physiological Laboratory
Primary
RHT 21079
CA
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
RHT 21079
CA
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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