SOURCE DIAGNOSTICS WEST LLC is a portable x ray and or other portable diagnostic imaging supplier in Lq, CA. 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. SOURCE DIAGNOSTICS WEST LLC NPI is 1598063133. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
49440 VIA POMPA
LQ, CA
ZIP 92253
Phone: (760) 777-4352
The provider's authorized official is Paul J Mezacapa .
The authorized official title is Managing Member and has the following contact phone number (760) 777-4352.
The enumeration date for this NPI number is 3/7/2011 and was last updated on 5/18/2011.