MOBILE MEDICAL DIAGNOSTICS INC NPI 1871962829

NPI Information

NPI: 1871962829
Provider Name: MOBILE MEDICAL DIAGNOSTICS INC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
549 WEBB INDUSTRIAL DR
MARIETTA, GA
ZIP 30062
Phone: (404) 964-6339
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MOBILE MEDICAL DIAGNOSTICS INC is a radiology and mobile clinic center in Marietta, GA. MOBILE MEDICAL DIAGNOSTICS INC NPI is 1871962829. The provider is registered as an organization entity type.

The provider's business location address is:

549 WEBB INDUSTRIAL DR
MARIETTA, GA
ZIP 30062-452
Phone: (404) 964-6339

The provider's authorized official is Rex Anthony Fortenberry .
The authorized official title is President and has the following contact phone number (404) 964-6339.

The enumeration date for this NPI number is 9/21/2015 and was last updated on 9/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0208X	Clinic/Center	Radiology, Mobile			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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