| Organization Name: | SKG MOBILE DIAGNOSTICS, LLC |
| NPI Number: | 1336451202 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAWN K GRUBBS (OWNER) |
| Mailing Address: | 14515 Panther Pt Helotes |
| State: | TX US |
| Postal Code: | 780234366 |
| Phone Number: | 2109983377 |
| Fax Number: | 2106882516 |
| NPI Enumeration Date: | 07/08/2010 |
| NPI Last Update Date: | 02/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246XC2903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Cardiovascular |
| Taxonomy Specialization: | Vascular Specialist |
| Taxonomy Definition: | |