National Provider Identifier Database

MC CORMACK DENTAL XRAY INC
Computed Tomography Radiologic Technologist

A radiologic technologist who specializes in computed tomography (CT) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of CT imaging, exam techniques, equipment protocols, radiation safety, and patient care.


Contact Information

MC CORMACK DENTAL XRAY INC.
395 N. SECOND AVE.
UPLAND, CA91786
Phone: 909-985-3030
Fax: 909-946-1200
Website:
Specialty Taxonomy Code
* Computed Tomography Radiologic Technologist 2471C3401X

* Indicates primary specialty

NPI Profile & details for MC CORMACK DENTAL XRAY INC.

NPI Number 1558895243
Legal business name
LBN
MC CORMACK DENTAL XRAY INC.
Authorized official VALERIE WELLS - (PRESIDENT/X-RAY TECH)
Entity Organization
Organization subpart No
Enumeration date 04/19/2017
Last updated 04/19/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: RHP00040925

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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