Robert J Mancino in Clearlake - Radiography
Robert J Mancino - NPI 1124110762
Robert J Mancino is a Radiography in Clearlake, California. Robert J Mancino practices all healthcare services and medical treatments related to Radiography. The NPI Number for Robert J Mancino is 1124110762. The last update date is 2007-12-13.
Robert J Mancino's current location address is Po Box 236, Clearlake, California. You can contact this provider via phone number 7079944965 and fax number 7079944965. The mailing address for Robert J Mancino is Po Box 236, Clearlake, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert J Mancino |
|---|---|
| Address | Po Box 236, Clearlake, California |
| Phone Number | 7079944965 |
| Fax Number | 7079944965 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1124110762 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-12-13 |
Provider Mailing Address Detail
| Address | Po Box 236 |
|---|---|
| City | Clearlake |
| State | California (CA) |
| Post Code | 954220236 |
| Phone Number | 7079944965 |
| Fax Number | 7079944965 |
Provider's Primary Taxonomy Detail
| Speciality | Radiography |
|---|---|
| Taxonomy | 2471C3402X |
| Licence No | RHT19556 |
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Definition: A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniq |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| XR000131F | CA | MEDI-CAL |
Post Comment/ Review Below
What is the unique provider identifier assigned to Robert J Mancino?
The Robert J Mancino has been issued the NPI (National Provider Identifier) 1124110762 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Robert J Mancino's facilities are situated?
The facilities of Robert J Mancino are physically located at the following address: Po Box 236, Clearlake, CA, 954220236.
What is Robert J Mancino's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Robert J Mancino is Radiography, and the taxonomy code that categorizes this field of expertise is 2471C3402X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124110762 to Robert J Mancino?
The Centers for Medicare & Medicaid Services originally issued the 1124110762 to Robert J Mancino on 2006-09-29.
As of what date was the information pertaining to Robert J Mancino, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Robert J Mancino, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-13.