Name | Value |
---|---|
PROVIDER TYPE | Technologists, Technicians & Other Technical Service Providers |
CLASSIFICATION | Radiologic Technologist |
AREA OF SPECIALIZATION | Cardiac-Interventional Technology |
STATUS | Active |
VA CODE | V130902 |
X12 CODE | 2471C1106X |
INDIVIDUAL/NON | INDIVIDUAL |
MASTER ENTRY FOR VUID | YES |
VUID | 5255702 |
EFFECTIVE DATE/TIME |
|