Organization
BIODATA RADIOLOGY SERVICES INC
Active
Other names
StatMobile Imaging, ALERRA HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN CANALES (PARTNER)
(949) 466-9939
Entity
Organization
Contact information
Practice address
4650 ARROW HWY STE F4, MONTCLAIR, CA 91763-1218
(909) 333-4200
(949) 281-7707
Mailing address
4650 ARROW HWY STE F4, MONTCLAIR, CA 91763-1218
(909) 333-4200
(949) 281-7707
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
CA
Other
Enumeration date
09/14/2010
Last updated
03/13/2022
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