Organization
VERIZON PORTABLE XRAY SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL JAMES OTT I R.T.R (RADIOLOGIC TECHNOLOGIST/OWNER)
(806) 240-0965
Entity
Organization
Contact information
Practice address
350 FM 145, EARTH, TX 79031-2110
(806) 240-0965
Mailing address
350 FM 145, EARTH, TX 79031-2110
(806) 240-0965
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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