Provider Demographics
NPI:1427041169
Name:FIL-AM MOBILE RADIOLOGY
Entity Type:Organization
Organization Name:FIL-AM MOBILE RADIOLOGY
Other - Org Name:NONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RODOLFO
Authorized Official - Middle Name:INOBAYA
Authorized Official - Last Name:SERAFICA
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:661-725-7700
Mailing Address - Street 1:341 NORWALK ST
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215-3621
Mailing Address - Country:US
Mailing Address - Phone:661-725-7700
Mailing Address - Fax:661-725-7517
Practice Address - Street 1:341 NORWALK ST
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-3621
Practice Address - Country:US
Practice Address - Phone:661-725-7700
Practice Address - Fax:661-725-7517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ30424ZMedicare ID - Type UnspecifiedMOBILE XRAY