MEDICARE: MEDICAL EVALUATORS 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
1	261QR0206X	Mammography Clinic/Center	HCC5703	FL
2	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center	HCC5703	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	V2907	OTHER	FL	BLUECROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679561526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL EVALUATORS INC

Provider Business Mailing Address
First Line	:	406 W 19TH ST
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4602
Country	:	US
Telephone Number	:	850-784-0545
Fax Number	:	850-215-4045

Provider Business Practice Location Address
First Line	:	406 W 19TH ST
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4602
Country	:	US
Telephone Number	:	850-784-0545
Fax Number	:	850-215-4045

Authorized Official
Title or Position	:	CEO
Name	:	MR. HAI BUI
Credential	:	R.T. (MR)(R)
Telephone Number	:	850-784-0545

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	12/20/2011

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Directions to “MEDICAL EVALUATORS INC ” Practice Location

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