# GENESIS MOBILE X-RAY, LLC

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

## Provider details

- **NPI number:** 1053737130
- **Authorized official:** SARAH S NAVEED (PRESIDENT)
- **Authorized official phone:** (817) 522-1002

## Contact information

- **Practice address:** 110 W RANDOL MILL RD, STE 228, ARLINGTON, TX 76011-4611
- **Practice address phone:** (817) 522-1002
- **Mailing address:** 110 W RANDOL MILL RD, STE 228, ARLINGTON, TX 76011-4611
- **Mailing address phone:** (817) 522-1002

## Taxonomy

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

## Other

- **Enumeration date:** 03/12/2014
- **Last updated:** 06/30/2017
