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NPI Code Detail

MEDICARE: MOBILE RADIOLOGY & IMAG

MEDICARE: MOBILE RADIOLOGY & IMAG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085U0001XDiagnostic Ultrasound Physician
22085R0202XDiagnostic Radiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346332392
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOBILE RADIOLOGY & IMAG
Provider Business Mailing Address
First Line : PO BOX 959
Second Line :
City : MERCER ISLAND
State : WA
Zip : 98040-0959
Country : US
Telephone Number : 206-568-4440
Fax Number : 206-720-4403
Provider Business Practice Location Address
First Line : 861 POPLAR PL S
Second Line :
City : SEATTLE
State : WA
Zip : 98144-2827
Country : US
Telephone Number : 206-568-4440
Fax Number : 206-720-4403
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : NEIL F SCHNEIDER
Credential : M.D.
Telephone Number : 206-568-4440
Provider Enumeration Date : 09/28/2006
Last Update Date : 09/12/2012

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Directions to “MOBILE RADIOLOGY & IMAG ” Practice Location

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