# D.R. MOBILE IMAGING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023492832
- **Authorized official:** KELLI D BEAVERS (CREDENTIALING MANAGER)
- **Authorized official phone:** (318) 325-6200

## Contact information

- **Practice address:** 319 HEDGE HILL CV, CALHOUN, LA 71225-8710
- **Practice address phone:** (318) 475-0690
- **Practice address fax:** (318) 325-6202
- **Mailing address:** PO BOX 328, CALHOUN, LA 71225-0328
- **Mailing address phone:** (318) 475-0690
- **Mailing address fax:** (318) 325-6202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 07/13/2015
- **Last updated:** 07/13/2015
