Provider Demographics
NPI:1134426422
Name:MOBILE C-ARM SERVICES, LLC
Entity type:Organization
Organization Name:MOBILE C-ARM SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:281-704-1424
Mailing Address - Street 1:327 DERRICK DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4993
Mailing Address - Country:US
Mailing Address - Phone:281-704-1424
Mailing Address - Fax:866-292-0905
Practice Address - Street 1:327 DERRICK DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4993
Practice Address - Country:US
Practice Address - Phone:281-704-1424
Practice Address - Fax:866-292-0905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR34150261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile