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MICHIGAN MOBILE IMAGING, LLC

Technologists, Technicians & Other Technical Service Providers Specialist/Technologist, Other

Provider NPI: 1679844963

Organization Information:
Organization Name:  MICHIGAN MOBILE IMAGING, LLC
Organization is not Subpart
Authorized Official:  TIMOTHY  VARGAS  CORPORATE DIRECTOR  313-593-7623

Practice Location:
15500 LUNDY PKWY ATTN: TAMMY FLYNN (N201) DEARBORN, MI 48126-2778 US
Tel: 313-586-5669  Fax: 313-791-4563

Business Mailing Address:
15500 LUNDY PKWY ATTN: TAMMY FLYNN (N201) DEARBORN, MI 48126-2778 US
Tel: 313-586-5669  Fax: 313-791-4563

NPI Information:
NPI: 1679844963
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N246Z00000XTechnologists, Technicians & Other Technical Service Providers
Specialist/Technologist, Other
N247100000XTechnologists, Technicians & Other Technical Service Providers
Radiologic Technologist
N2471S1302XTechnologists, Technicians & Other Technical Service Providers
Radiologic Technologist
N2471V0105XTechnologists, Technicians & Other Technical Service Providers
Radiologic Technologist
Y335V00000XSuppliers
Portable X-Ray Supplier

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 335V00000X

Type:

Classification:



Definition:



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