OrganizationActive
Independent Diagnostic Testing Inc
NPI 1124342373 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · La Mesa, CA
Provider details
- NPI number
- 1124342373
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Fred Sufficool, Ceo(619) 461-0039
- License
- 335V00000X (CA)
Specialties & taxonomies
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierPrimary335V00000XLicense 335V00000X (CA)
Suppliers
Practice location
7877 Parkway Dr
La Mesa, CA 91942-2000
Phone: (619) 461-0039
Fax: (619) 461-5941
Approximate (ZIP-level) locationGet directions
Mailing address
7877 Parkway Dr
La Mesa, CA 91942-2000
Registry dates
- Enumerated
- 2010-03-17
- Last updated
- 2010-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.