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SOURCE DIAGNOSTICS WEST LLC
NPI 1598063133
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Lq, CA

Active since March 07, 2011

NPPES record last updated: May 18, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Source Diagnostics West Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOURCE DIAGNOSTICS WEST LLC (NPI 1598063133) is a healthcare organization registered as a portable x-ray and/or other portable diagnostic imaging supplier in Lq, California and active in the NPI registry since March 2011. The organization lists Paul J Mezacapa, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1598063133
Entity TypeOrganization
Primary Taxonomy335V00000X
Legal Business NameSOURCE DIAGNOSTICS WEST LLC
Location Address49440 VIA POMPALq, CA 92253
Mailing Address49440 Via PompaLa Quinta, CA 92253 · (760) 777-4352
Phone(760) 777-4352
Organization SubpartNo
Authorized OfficialPaul J MezacapaManaging Member · (760) 777-4352
Enumeration DateMarch 7, 2011
Last NPPES UpdateMay 18, 2011
✔ NPI 1598063133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPortable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
Taxonomy Code335V00000X
License✔ Licensed in CA · 00080313
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.
Also ListedSpecialist/Technologist Cardiovascular · SonographyTaxonomy 246XS1301X
Also ListedRadiologic Technologist · SonographyTaxonomy 2471S1302X
Also ListedRadiologic Technologist · Vascular SonographyTaxonomy 2471V0105X
49440 VIA POMPA, Lq, CA 92253
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Source Diagnostics West LLC's NPI number?

The NPI number for Source Diagnostics West LLC is 1598063133. It was assigned to this organization in the NPPES registry on March 7, 2011.

Where is Source Diagnostics West LLC located?

Source Diagnostics West LLC is located at 49440 Via Pompa, Lq, CA 92253. The listed phone number is (760) 777-4352.

What is Source Diagnostics West LLC's specialty?

The primary specialty registered for this NPI is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

When was this NPI record last updated?

The NPPES record for Source Diagnostics West LLC was last updated on May 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.