Organization
ALERRA, LLC
Active
Other names
StatMobile Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN A CANALES (MEMBER)
(949) 258-9883
Entity
Organization
Contact information
Practice address
618 NW 12TH AVE APT 412, PORTLAND, OR 97209-3031
(949) 258-9883
(949) 281-7707
Mailing address
34443 VIA VERDE APT B, CAPISTRANO BEACH, CA 92624-1222
(949) 258-9883
(949) 281-7707
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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