Provider Demographics
NPI:1609046432
Name:RODRIGUEZ, CAROLYN LABABIT (RT(R))
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:LABABIT
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:RT(R)
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Mailing Address - Street 1:34101 FARENHOLT AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134-7000
Mailing Address - Country:US
Mailing Address - Phone:619-532-7811
Mailing Address - Fax:619-532-8189
Practice Address - Street 1:34101 FRAENHOLT AVENUE
Practice Address - Street 2:NAVAL SCHOOL OF HEALTH SCIENCES
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-5291
Practice Address - Country:US
Practice Address - Phone:619-532-7811
Practice Address - Fax:619-532-8189
Is Sole Proprietor?:No
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN323256247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist