Verizon Portable Xray Service Inc.

NPI #1063742211 in Earth, Texas

Provider Information

NPI Number: 1063742211
Entity Type: Organization
Organization Name: Verizon Portable Xray Service Inc.
Primary Specialty: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Enumeration Date: Jan 12, 2010
Last Updated: Jan 12, 2010

Practice Location

Address: 350 FM 145
City: Earth
State: Texas
ZIP Code: 79031-2110
Phone: (806) 240-0965

Authorized Official

Name: MR. SAMUEL JAMES OTT I, R.T.R
Title: RADIOLOGIC TECHNOLOGIST/OWNER
Phone: (806) 240-0965

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Radiology, Mobile — Radiology, Mobile	261QR0208X
Clinic/Center - Rural Health — Rural Health	261QR1300X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X	Primary

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