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General NPI Number Information
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NPI Number | 1437069739
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Entity Type | Organization
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Legal Business Name | DIRECT MOBILE CT, LLC.
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 2921 N TENAYA WAY STE 205
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City | LAS VEGAS
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State | NV
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Zip | 89128-1414
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Country | US
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Telephone | 702-586-3005
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Fax | 702-940-6157
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Provider Business Mailing Address
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Address Line | 2921 N TENAYA WAY
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City | LAS VEGAS
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State | NV
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Zip | 89128-0454
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Country | US
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Telephone | 702-978-8000
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Fax | 702-978-8001
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ABBY GROSSA
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Credential |
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Telephone | 702-338-8373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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