NPI 1417016114
Hannibal Mobile Diagnostics, LLC
Practice location
- Address
- 2910 St. Mary's Ave., Hannibal, MO 63401
- Phone
- (573) 221-7870
- Fax
- (573) 221-9323
Authorised official
- Name
- Brandon Selle
- Title
- Administrator
- Phone
- (573) 221-7870
Registered specialties
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
Registry record
- NPI
- 1417016114
- Entity type
- Organization
- NPI issued
- 8 Dec 2006
- Record last updated
- 21 Jul 2022
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.