NPI 1043320724

Mobile Diagnostic Services, INC

Organisation Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Dunlap, IL

Practice location

Address: 1719 W Woodside Dr, Dunlap, IL 61525-9572
Phone: (309) 689-0243
Fax: (309) 689-0205

Authorised official

Name: Mindy Moore
Title: Vice President
Phone: (309) 689-0243

Registered specialties

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary

Suppliers Taxonomy 335V00000X Licence 335V00000X (IL)

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Registry record

NPI: 1043320724
Entity type: Organization
NPI issued: 30 Aug 2006
Record last updated: 23 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.