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NPI Code Detail

MEDICARE: MOBILE RADIOLOGY & IMAGING, INC

MEDICARE: MOBILE RADIOLOGY & IMAGING, INC
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 PhysicianMD00014397WA

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 : 1467620534
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOBILE RADIOLOGY & IMAGING, INC
Provider Business Mailing Address
First Line : 861 POPLAR PL S
Second Line :
City : SEATTLE
State : WA
Zip : 98144-2827
Country : US
Telephone Number : 206-323-9729
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 : 206-323-9729
Fax Number : 206-720-4403
Authorized Official
Title or Position : PRESIDENT
Name : NEIL F SCHNEIDER
Credential : M.D.
Telephone Number : 206-323-9729
Provider Enumeration Date : 02/12/2008
Last Update Date : 06/19/2008

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Directions to “MOBILE RADIOLOGY & IMAGING, INC ” Practice Location

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