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SOUK LUANGSRINHOTHA MODESTO MOBILE IMAGING SERVICES NPI 1548810336


NPI Information

NPI: 1548810336
Provider Name: SOUK LUANGSRINHOTHA MODESTO MOBILE IMAGING SERVICES
Classification: Radiologic Technologist - 2471S1302X
Entity Type: Organization

Specialization: Sonography

Address:
5021 ROSSO CT
SALIDA, CA
ZIP 95368
Phone: (209) 855-6900
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SOUK LUANGSRINHOTHA MODESTO MOBILE IMAGING SERVICES is a sonography radiologic technologist in Salida, CA. The provider is a radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques, equipment protocols, radiation safety, and patient care. SOUK LUANGSRINHOTHA MODESTO MOBILE IMAGING SERVICES NPI is 1548810336. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5021 ROSSO CT
SALIDA, CA
ZIP 95368-066
Phone: (209) 855-6900

The provider's authorized official is Souk Luangsrinhotha .
The authorized official title is Owner and has the following contact phone number (209) 855-6900.

The enumeration date for this NPI number is 9/13/2019 and was last updated on 9/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12471S1302XRadiologic TechnologistSonographyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11972090652MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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