IndividualActive
Charles Crouse, CRT
NPI 1093846479 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · San Mateo, CA
Provider details
- NPI number
- 1093846479
- Entity type
- Individual
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Credential
- CRT
- Sex
- Male
- Sole proprietor
- Yes
- License
- RHT3605 (CA)
Specialties & taxonomies
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierPrimary335V00000XLicense RHT3605 (CA)
Suppliers
Practice location
801 Maple St
801 Maple Street
San Mateo, CA 94402-2302
Phone: (650) 347-1880
Approximate (ZIP-level) locationGet directions
Mailing address
801 Maple St
San Mateo, CA 94402-2302
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2013-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.