Healthcare Provider Details

I. General information

NPI: 1871535161
Provider Name (Legal Business Name): MOBILE ECHO AND IMAGING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 GRANT ST
GALION OH
44833-1843
US

IV. Provider business mailing address

410 GRANT ST
GALION OH
44833-1843
US

V. Phone/Fax

Practice location:
  • Phone: 419-468-6023
  • Fax: 419-468-9398
Mailing address:
  • Phone: 419-468-6023
  • Fax: 419-468-9398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. RONALD D FOX
Title or Position: PRESIDENT
Credential: R.T. (R)(CV)
Phone: 419-468-6023