Independent Diagnostic Tests INC
NPI #1912282781 in El Cajon, California
Provider Information
- NPI Number
- 1912282781
- Entity Type
- Organization
- Organization Name
- Independent Diagnostic Tests INC
- Primary Specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Enumeration Date
- Oct 12, 2011
- Last Updated
- Oct 3, 2014
Practice Location
- Address
- 8216 STARLAND DR
- City
- El Cajon
- State
- California
- ZIP Code
- 92021-1877
- Phone
- (619) 971-3004
Authorized Official
- Name
- MR. FRED E SUFFICOOL
- Title
- OWNER/PRESIDENT
- Phone
- (619) 971-3004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
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