Organization
MODESTO MOBILE IMAGING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE DOLE (MANAGER)
(209) 575-4575
Entity
Organization
Contact information
Practice address
5021 ROSSO CT, SALIDA, CA 95368-9066
(209) 855-6900
Mailing address
PO BOX 3091, MODESTO, CA 95353-3091
(209) 575-4575
(209) 575-4598
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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