Organization
MANTRO MOBILE IMAGING LLC
Active
Parent organization
MANTRO MOBILE IMAGING LLC
Other names
Mantro Mobile Imaging of California
Organization subpart
Yes
Provider details
NPI number
Legal business name
MANTRO MOBILE IMAGING LLC
Authorized official
MR. JOHN A MISSIG RN,BSN (CEO/COO)
(434) 989-8851
Entity
Organization
Contact information
Practice address
6528 GREENLEAF AVE SUITE 209, WHITTIER, CA 90601-4131
(888) 592-0550
(888) 600-1534
Mailing address
8778 S MARYLAND PKWY STE 105, LAS VEGAS, NV 89123-6705
(888) 592-0550
(888) 600-1534
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GH589A
PTAN
CA
Enumeration date
10/12/2011
Last updated
03/22/2022
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