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General NPI Number Information
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NPI Number | 1093756843
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Entity Type | Organization
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Legal Business Name | MOBILE RADIOLOGY LABS, INC
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 1 RESEARCH CT
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City | ROCKVILLE
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State | MD
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Zip | 20850-6222
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Country | US
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Telephone | 301-782-2377
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Fax | 301-782-7724
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Provider Business Mailing Address
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Address Line | PO BOX 520
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City | MARSHALL
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State | VA
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Zip | 20116-0520
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Country | US
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Telephone | 301-782-2377
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Fax | 301-782-7724
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES L TARVER
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Credential | N/A
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Telephone | 301-782-2377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471M1202X
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Taxonomy Name | Magnetic Resonance Imaging Radiologic Technologist
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License Number |
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License Number State |
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