Provider Demographics
NPI:1447366166
Name:ALAMO MOBILE X RAY & EKG SERVICES, INC.
Entity type:Organization
Organization Name:ALAMO MOBILE X RAY & EKG SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-735-7889
Mailing Address - Street 1:4400 S PIEDRAS DR
Mailing Address - Street 2:STE 140
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1223
Mailing Address - Country:US
Mailing Address - Phone:210-735-7889
Mailing Address - Fax:210-735-3060
Practice Address - Street 1:4400 PIEDRAS DR S
Practice Address - Street 2:STE 140
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1223
Practice Address - Country:US
Practice Address - Phone:210-735-7889
Practice Address - Fax:210-735-3060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX086095901Medicaid
TX459850Medicare PIN
TX086095901Medicaid