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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREW SCOTT ABILDGAARD, X-RAY TECH R.T

Active Sole Proprietor

ANDREW SCOTT ABILDGAARD, X-RAY TECH R.T is a Radiologic Technologist healthcare provider located in LAKEPORT, California. NPI 1134355498 is currently active in the NPPES registry. Verify at CMS.

Radiologic Technologist · LAKEPORT, CA

Registration Details

NPI Number
1134355498
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2009 (17.176344497569 yrs)
Last Updated
Jun 1, 2009
License
435340 (CA)
Sole Proprietor
Yes

Practice Information

Address
382 15TH ST.
LAKEPORT, CA, 954533636
Browse CA providers · Browse ZIP 95453
Phone
7072634972
Primary Specialty
Radiologic Technologist
247100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.