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General NPI Number Information
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NPI Number | 1396745071
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Entity Type | Organization
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Legal Business Name | MOBILE RADIOLOGY SERVICES, INC.
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 556 COUNTY ROAD 391
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City | JONESBORO
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State | AR
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Zip | 72401-0619
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Country | US
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Telephone | 870-926-1120
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Fax | 870-586-5702
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Provider Business Mailing Address
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Address Line | 556 COUNTY ROAD 391
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City | JONESBORO
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State | AR
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Zip | 72401-0619
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Country | US
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Telephone | 870-926-1120
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Fax | 870-586-5702
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SUZANNE MARTIN
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Credential |
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Telephone | 870-926-1120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number | 260009834
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number | 19816
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License Number State | AR
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