NPI 1265450282
Massvax Travel Clinic L.L.C.
Practice location
- Address
- 113 Parkside Dr, Headland, AL 36345-1520
- Phone
- (334) 790-2260
Authorised official
- Name
- Ray Charles Thompson
- Title
- Respiratory Therapist
- Phone
- (334) 790-2260
Registered specialties
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
Registry record
- NPI
- 1265450282
- Entity type
- Organization
- NPI issued
- 17 Jul 2006
- Record last updated
- 22 Aug 2020
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.