SOUK LUANGSRINHOTHA MODESTO MOBILE IMAGING SERVICES


Address: 5021 Rosso Ct, Salida, CA 95368-9066
Phone: 2098556900

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2471S1302X Radiologic Technologist
Specialization: Sonography
Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 1972090652 05

Other Provider/Organization Names

Other Name Type Code
MODESTO MOBILE IMAGING SERVICES Doing Business As Name - Organization

Office Location

Street Address 5021 ROSSO CT
City SALIDA
State CA
Zip Code 95368-9066

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2471S1302X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Sonography

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City SALIDA
Zip Code 95368

Improve Information

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Dataset Information

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.

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