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MASSVAX TRAVEL CLINIC L.L.C. NPI 1265450282


NPI Information

NPI: 1265450282
Provider Name: MASSVAX TRAVEL CLINIC L.L.C.
Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
Entity Type: Organization
Address:
113 PARKSIDE DR
HEADLAND, AL
ZIP 36345
Phone: (334) 790-2260
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MASSVAX TRAVEL CLINIC L.L.C. is a portable x ray and or other portable diagnostic imaging supplier in Headland, AL. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. MASSVAX TRAVEL CLINIC L.L.C. NPI is 1265450282. The provider is registered as an organization entity type.

The provider's business location address is:

113 PARKSIDE DR
HEADLAND, AL
ZIP 36345-520
Phone: (334) 790-2260

The provider's authorized official is Ray Charles Thompson .
The authorized official title is Respiratory Therapist and has the following contact phone number (334) 790-2260.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierYes

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: 4/28/2024

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