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General NPI Number Information
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NPI Number | 1780843698
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Entity Type | Organization
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Legal Business Name | EXPRESS MOBILE DIAGNOSTIC SERVICES, LLC
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 4536 STATE ROUTE 136 STE 1
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City | GREENSBURG
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State | PA
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Zip | 15601-7918
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Country | US
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Telephone | 877-602-2847
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Fax |
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Provider Business Mailing Address
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Address Line | 4536 STATE ROUTE 136 STE 1
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City | GREENSBURG
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State | PA
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Zip | 15601-7918
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE BOSTARD
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Credential |
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Telephone | 877-602-2847
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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 |
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License Number State |
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