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NPI Code Detail

MEDICARE: QUALITY MOBILE XRAY SERVICES INC

MEDICARE: QUALITY MOBILE XRAY SERVICES 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
1261QR0208XMobile Radiology Clinic/Center
2335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging Supplier

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 : 1598719635
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALITY MOBILE XRAY SERVICES INC
Provider Business Mailing Address
First Line : PO BOX 110359
Second Line :
City : NASHVILLE
State : TN
Zip : 37222-0359
Country : US
Telephone Number : 615-391-4515
Fax Number : 303-785-9283
Provider Business Practice Location Address
First Line : 640 GRASSMERE PARK
Second Line : SUITE 116
City : NASHVILLE
State : TN
Zip : 37211-3678
Country : US
Telephone Number : 615-391-4515
Fax Number : 303-785-9283
Authorized Official
Title or Position : CEO
Name : DOUGE GOETZ
Credential :
Telephone Number : 303-371-0073
Provider Enumeration Date : 05/22/2006
Last Update Date : 05/15/2015

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Directions to “QUALITY MOBILE XRAY SERVICES INC ” Practice Location

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