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MOBILE WOUND & DIAGNOSTICS INC NPI 1669010914


NPI Information

NPI: 1669010914
Provider Name: MOBILE WOUND & DIAGNOSTICS INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
165 ROWLAND WAY STE 208
NOVATO, CA
ZIP 94945
Phone: (415) 287-0859
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MOBILE WOUND & DIAGNOSTICS INC is a specialist in Novato, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MOBILE WOUND & DIAGNOSTICS INC NPI is 1669010914. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

165 ROWLAND WAY STE 208
NOVATO, CA
ZIP 94945-055
Phone: (415) 287-0859
Fax: (415) 202-6228

The provider's authorized official is Anthony Gordon .
The authorized official title is President and has the following contact phone number (415) 287-0859.

The enumeration date for this NPI number is 12/17/2019 and was last updated on 12/17/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WW0000XRegistered NurseWound CareNo
2174400000XSpecialistYes
3335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierNo

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.