SHERMIN MOBILE IMAGING, LLC


Address: 1879 Lundy Ave Ste 218, Suite 218, San Jose, CA 95131-1881
Phone: 4083736176

SHERMIN MOBILE IMAGING, LLC (NPI# 1871899799) 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) 1871899799
Entity Type Organization
Organization Name SHERMIN MOBILE IMAGING, LLC
Practice Address 1879 Lundy Ave Ste 218
Suite 218
San Jose
CA 95131-1881
Practice Telephone 4083736176
Practice Fax Number 4086844531
Mailing Telephone 4083736176
Mailing Fax Number 4086844531
Enumeration Date 2011-02-10
Last Update Date 2013-02-04
Authorized Official Name L MICHAEL JONES (SHAREHOLDER)
Authorized Official Telephone 4083736176
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0200X Clinic/Center
Specialization: Radiology
FAC00069861 CA Ambulatory Health Care Facilities
Y 261QR0208X Clinic/Center
Specialization: Radiology, Mobile
CA Ambulatory Health Care Facilities

Office Location

Street Address 1879 LUNDY AVE STE 218
SUITE 218
City SAN JOSE
State CA
Zip Code 95131-1881

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1831692722 Nicholas Jordon Thompson Counselor 2218 North First Street, San Jose, CA 95131 2018-03-16
1376072637 Lee's Care Home Assisted Living Facility 5225 Gallant Fox Avenue, San Jose, CA 95131 2017-06-08
1972984649 Maria De La Luz Gonzalez Counselor 1885 Lundy Ave. Suite 223, San Jose, CA 95131 2015-06-17
1720470412 Bridget Martinez Physical Therapist 1172 Murphy Ave #227, San Jose, CA 95131 2015-03-04
1609275593 Cheryl Lozano Community Health Worker 1885 Lundy Ave, Ste 223, San Jose, CA 95131 2014-08-18
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Taxonomy Information

Taxonomy Code 261QR0208X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology, Mobile

Taxonomy Definition

Definition to come...

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Competitor

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City SAN JOSE
Zip Code 95131

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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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