INDEPENDENT DIAGNOSTIC TESTING INC


Address: 7877 Parkway Dr, La Mesa, CA 91942-2000
Phone: 6194610039

INDEPENDENT DIAGNOSTIC TESTING INC (NPI# 1124342373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124342373
Entity Type Organization
Organization Name INDEPENDENT DIAGNOSTIC TESTING INC
Practice Address 7877 Parkway Dr
La Mesa
CA 91942-2000
Practice Telephone 6194610039
Practice Fax Number 6194615941
Mailing Telephone 6194610039
Mailing Fax Number 6194615941
Enumeration Date 2010-03-17
Last Update Date 2010-03-17
Authorized Official Name MR. FRED E SUFFICOOL (CEO)
Authorized Official Telephone 6194610039
Authorized Official Credential PARAMEDIC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X CA Suppliers

Office Location

Street Address 7877 PARKWAY DR
City LA MESA
State CA
Zip Code 91942-2000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366448243 Paul L Treger Md A Medical Corporation Ophthalmology 7877 Parkway Dr, Ste 100, La Mesa, CA 91942-2000 2005-06-24
1720359789 Sarah E Stanton Md Inc Clinic/Center 7877 Parkway Dr, Siute B, La Mesa, CA 91942-2000 2012-01-23
1891933941 Aireen L. Gutierrez, M.d., Inc. Internal Medicine 7877 Parkway Dr, Suite 1b, La Mesa, CA 91942-2000 2009-01-28
1578748018 Mobile Physician Services Clinical Medical Laboratory 7877 Parkway Dr, Suite 1b, La Mesa, CA 91942-2000 2008-01-03
1184748311 Martin M Nosan Internal Medicine 7877 Parkway Dr, Suite 1b, La Mesa, CA 91942-2000 2007-03-16
1447311899 Paul Leslie Treger Ophthalmology 7877 Parkway Dr, Suite 100, La Mesa, CA 91942-2000 2006-12-12
1013078427 Glenn Cook Ophthalmology 7877 Parkway Dr, Suite 100, La Mesa, CA 91942-2000 2006-12-12
1609963974 Anthony Trong Tran Dentist 7877 Parkway Dr, Suite 2b, La Mesa, CA 91942-2000 2006-10-06
1255436804 Mark Shaffer Internal Medicine 7877 Parkway Dr, Suite1b, La Mesa, CA 91942-2000 2006-09-14
1316939978 William Burton Davis Internal Medicine 7877 Parkway Dr, Suite 1b, La Mesa, CA 91942-2000 2005-08-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902453723 Nicole V Zappelli Case Manager/Care Coordinator 4990 William Ave., La Mesa, CA 91942 2019-08-26
1770059834 Natalie Ngoc Nguyen Physician Assistant 5555 Grosmont Center Dr., La Mesa, CA 91942 2018-10-16
1194204297 Courtney Pietsch Nurse Practitioner 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 2018-08-09
1295214773 Megan Gordon Behavior Technician 6116 Horton Dr, La Mesa, CA 91942 2018-08-07
1356836548 Kimberly Denise Davis Counselor 3845 Avocado School Road, El Cajon, CA 91942 2018-06-29
1366932113 Melanie Joyce Shepard Physician Assistant 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 2018-05-17
1871013532 Low Dental, A.p.c. Public Health or Welfare 7872 La Mesa Blvd., La Mesa, CA 91942 2017-06-23
1275069437 Ardel Ayala Respiratory Therapist, Registered 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 2017-05-10
1285007583 Counseling & Behavioral Specialists Marriage & Family Therapist 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 2015-11-09
1285001875 Emily Shozaki Rizo Nurse Practitioner 6285 Meadowcrest Drive, La Mesa, CA 91942 2015-08-31
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Taxonomy Information

Taxonomy Code 335V00000X
Grouping Suppliers
Classification Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Definition

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.
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417146903 Sd Xray LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 8900 Grossmont Blvd Ste 1, La Mesa, CA 91941-4047 2007-10-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629696497 Iscan Medical Imaging, Inc. Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 21822 Sherman Way Ste 201, Canoga Park, CA 91303-1938 2020-07-08
1518582014 Pdi Health Ca LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 2020-06-10
1790314151 Jem Imaging Services LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 359 Churchill Pl, Gilroy, CA 95020-6738 2020-04-07
1427695352 Quality Care Diagnostic Services LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 11900 Avalon Blvd Ste 101, Los Angeles, CA 90061-2867 2019-12-10
1851940431 X-ray Diagnostics Inc Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 6450 Bellingham Ave Ste F, North Hollywood, CA 91606-1429 2019-09-06
1063074730 Better Life United Inc Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 4100 Easton Dr Ste 12, Bakersfield, CA 93309-9418 2019-07-02
1679134118 Sd Xray LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 3220 S Brea Canyon Rd Ste B, Diamond Bar, CA 91765-3481 2019-06-25
1114583549 Ruahrena Corporation Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 2019-05-10
1457816712 Pmdtc, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 23297 S Pointe Dr Ste 120, Laguna Hills, CA 92653-1491 2019-01-31
1083188767 Mabel Imaging Inc Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 356 E Olive Ave Ste 111, Burbank, CA 91502-1260 2019-01-16
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Competitor

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City LA MESA
Zip Code 91942

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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