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General NPI Number Information
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NPI Number | 1508699604
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Entity Type | Organization
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Legal Business Name | A & A MOBILE IMAGING, LLC
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Dates
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Enumeration Date | 08/23/2024
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 14500 JOHN HUMPHREY DR UNIT 3
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City | ORLAND PARK
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State | IL
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Zip | 60462-2816
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Country | US
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Telephone | 708-971-3114
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Fax |
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Provider Business Mailing Address
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Address Line | 6130 BROOKWOOD DR
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City | OAK FOREST
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State | IL
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Zip | 60452-2918
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Country | US
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Telephone | 708-971-3114
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AYUOB SALEM
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Credential | RVT
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Telephone | 708-971-3114
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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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Taxonomy #2
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Taxonomy Code | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number |
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License Number State |
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