Source Diagnostics West LLC

Organization Sonography Specialist/Technologist Cardiovascular · NPI 1598063133

Source Diagnostics West LLC is a Sonography Specialist/Technologist Cardiovascular in Lq, California. Licensed in California. Registered with an NPI since 2011.

Licensed in: CA
In the registry since: 2011
Specialties on file: 4

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

49440 Via Pompa
Lq, CA 92253
Phone: (760) 777-4352

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (primary)	Taxonomy 335V00000X · Licence 00080313 (CA)
Sonography Specialist/Technologist Cardiovascular	Taxonomy 246XS1301X
Sonography Radiologic Technologist	Taxonomy 2471S1302X
Vascular Sonography Radiologic Technologist	Taxonomy 2471V0105X

Record details

NPI number	1598063133
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Paul Mezacapa — Managing Member · (760) 777-4352
NPI enumerated	March 7, 2011
Last updated in NPPES	May 18, 2011
Mailing address	49440 Via Pompa, La Quinta, CA 92253