NPI 1306878996

Mountain Mobile Diagnostics, INC.

Organisation Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Bulan, KY

Practice location

Address: 725 Hardburly Rd, Bulan, KY 41722-8907
Phone: (606) 487-9114
Fax: (606) 487-9114
Mailing address: PO Box 896, Bulan, KY 41722-0896

Authorised official

Name: J B Spurlock
Title: President/Owner
Phone: (606) 487-9114

Registered specialties

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

Suppliers Taxonomy 335V00000X Licence 720142 (KY)

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Registry record

NPI: 1306878996
Entity type: Organization
NPI issued: 6 Jul 2006
Record last updated: 1 Dec 2015

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.