Provider Demographics
NPI:1316043391
Name:VCMDS, INC.
Entity Type:Organization
Organization Name:VCMDS, INC.
Other - Org Name:VITAL CARE MOBILE DIAGNOSTIC SERVICE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SABI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAGWOLSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-745-6162
Mailing Address - Street 1:PO BOX 77790
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92877-0126
Mailing Address - Country:US
Mailing Address - Phone:951-278-5590
Mailing Address - Fax:951-272-2815
Practice Address - Street 1:540 S GOLDEN SKY LN
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-4749
Practice Address - Country:US
Practice Address - Phone:714-745-6162
Practice Address - Fax:951-272-2815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile