Healthcare Provider Details

I. General information

NPI: 1740497825
Provider Name (Legal Business Name): MOBILE MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 12/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 S BELT HWY
SAINT JOSEPH MO
64506-3418
US

IV. Provider business mailing address

306 S BELT HWY
SAINT JOSEPH MO
64506-3418
US

V. Phone/Fax

Practice location:
  • Phone: 816-232-2727
  • Fax: 816-232-2771
Mailing address:
  • Phone: 816-232-2727
  • Fax: 816-232-2771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: ZACHARY B EVANS
Title or Position: PRESIDENT
Credential:
Phone: 816-232-2727