Organization
KUMARS PORTABLE XRAY INC.
Active
Other names
KUMARS PORTABLE XRAY INC.
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE DOLE (MANAGER)
(209) 575-4575
Entity
Organization
Contact information
Practice address
3621 GLENCREST DR, MODESTO, CA 95355-8431
(209) 575-4575
(209) 575-4598
Mailing address
PO BOX 4978, MODESTO, CA 95352-4978
(209) 575-4575
(209) 575-4575
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ21690Z
—
CA
Enumeration date
12/06/2019
Last updated
12/23/2019
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