Organization
INDEPENDENT DIAGNOSTIC TESTS INC
Active
Other names
IDT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED E SUFFICOOL (OWNER/PRESIDENT)
(619) 971-3004
Entity
Organization
Contact information
Practice address
8216 STARLAND DR, EL CAJON, CA 92021-1877
(619) 971-3004
(855) 473-0120
Mailing address
8216 STARLAND DR, EL CAJON, CA 92021-1877
(619) 971-3004
(855) 473-0120
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
CA
Other
Enumeration date
10/12/2011
Last updated
10/03/2014
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