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General NPI Number Information
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NPI Number | 1871593541
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Entity Type | Organization
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Legal Business Name | MOBILE X-RAY IMAGING INC.
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 945 EAST PARK DR SUITE 102
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City | HARRISBURG
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State | PA
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Zip | 17111
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Country | US
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Telephone | 717-561-4940
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Fax | 717-561-4467
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Provider Business Mailing Address
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Address Line | 945 EAST PARK DR SUITE 102
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City | HARRISBURG
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State | PA
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Zip | 17111
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Country | US
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Telephone | 717-561-4940
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Fax | 717-561-4467
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TODD GELBAUGH
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Credential |
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Telephone | 717-561-4940
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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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Taxonomy #2
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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 #3
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number |
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License Number State | PA
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