SOUK LUANGSRINHOTHA MODESTO MOBILE IMAGING SERVICES (NPI# 1548810336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548810336 |
Entity Type | Organization |
Organization Name | SOUK LUANGSRINHOTHA MODESTO MOBILE IMAGING SERVICES |
Practice Address |
5021 Rosso Ct Salida CA 95368-9066 |
Mailing Address |
Po Box 3091 Modesto CA 95353-3091 |
Practice Telephone | 2098556900 |
Mailing Telephone | 2095754575 |
Mailing Fax Number | 2095754598 |
Enumeration Date | 2019-09-13 |
Last Update Date | 2019-09-13 |
Authorized Official Name | SOUK LUANGSRINHOTHA (OWNER) |
Authorized Official Telephone | 2098556900 |
Authorized Official Credential | R.T(R)(CT)(ARRT) |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1972090652 | 05 |
Other Name | Type Code |
---|---|
MODESTO MOBILE IMAGING SERVICES | Doing Business As Name - Organization |
Street Address |
5021 ROSSO CT |
City | SALIDA |
State | CA |
Zip Code | 95368-9066 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972090652 | Souk Luangsrinhotha | Radiologic Technologist | 5021 Rosso Ct, Salida, CA 95368-9066 | 2018-04-18 |
1730730144 | Modesto Mobile Imaging Services | Clinic/Center | 5021 Rosso Ct, Salida, CA 95368-9066 | 2019-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710390653 | Sajida Khan | Technician | 5020 Tamara Way, Salida, CA 95368 | 2014-06-09 |
1891112561 | Quality Care Transportation Inc | Non-emergency Medical Transport (VAN) | 5600 Pirrone Rd, Salida, CA 95368 | 2014-03-19 |
1104253046 | Teri Lynn Collet | Social Worker | 5032 Treetop Dr., Salida, CA 95368 | 2013-10-10 |
1265785588 | Jonathan Edward Bruno | Behavioral Analyst | 5716 Pirrone Rd., Salida, CA 95368 | 2012-10-24 |
1821440645 | Terra Oehler | Behavioral Analyst | 5716 Pirrone Rd, Salida, CA 95368 | 2016-07-05 |
1760862148 | California Imaging Partners, Inc. | Radiology | 4536 Broadway Unit 906, Salida, CA 95368-2037 | 2015-06-01 |
1013406248 | Up Care Med LLC | Internal Medicine | 4605 Old Mill Ct, Salida, CA 95368-8015 | 2018-05-03 |
1376856856 | Kimberlee Ann Hamilton | Case Manager/Care Coordinator | 4504 Sun Down Pl, Salida, CA 95368-8020 | 2010-07-26 |
1104323740 | Life Saving Images Inc | Clinic/Center | 5628 Pirrone Rd, Salida, CA 95368-8203 | 2018-04-10 |
1124290531 | Marinello Manuel | Dentist | 5604 Pirrone Rd, Salida, CA 95368-8203 | 2008-03-25 |
Find all providers in zip 95368 |
Taxonomy Code | 2471S1302X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Sonography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881203313 | Randy Michael Gines | Radiologic Technologist | 398 Cypress Ave Unit 321, South San Francisco, CA 94080-3775 | 2020-07-30 |
1689132532 | Kevork Krajian | Radiologic Technologist | 2645 Risa Dr, Glendale, CA 91208-2355 | 2019-03-11 |
1699264309 | Shih-kang Cheng | Radiologic Technologist | 6359 San Rufo Cir, Buena Park, CA 90620-3639 | 2018-05-08 |
1649777814 | Jaimini Samir Shah | Radiologic Technologist | 780 Berryessa St, Livermore, CA 94551-8891 | 2018-04-12 |
1205377686 | Iheart Imaging | Radiologic Technologist | 722 Gleneagle Ave, Hayward, CA 94544-7208 | 2017-03-17 |
1275079949 | Kristen Mitchell | Radiologic Technologist | 5940 E Pontiac Way, Fresno, CA 93727-7941 | 2017-01-18 |
1700320215 | Joy K Clay | Radiologic Technologist | 760 Saratoga Ave Apt Z105, San Jose, CA 95129-2435 | 2016-12-19 |
1780134379 | Katerina Boghosian | Radiologic Technologist | 11043 Scoville Ave, Sunland, CA 91040-2013 | 2016-10-07 |
1467809558 | Lizandra Vargas | Radiologic Technologist | 9414 Slauson Ave, Pico Rivera, CA 90660 | 2016-05-18 |
1316319726 | Happy Feet Imaging, Inc. | Radiologic Technologist | 13585 Whittier Blvd, Suite 104, Whittier, CA 90605-4442 | 2015-10-24 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.