# OHIO MOBILE X-RAY INC

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

## Provider details

- **NPI number:** 1215246418
- **Authorized official:** MUNEER HASAN (V. PRESIDENT)
- **Authorized official phone:** (773) 544-1249

## Contact information

- **Practice address:** 5525 SCHULTZ DR, STE B, SYLVANIA, OH 43560-2383
- **Practice address phone:** (440) 942-1110
- **Practice address fax:** (440) 942-0608
- **Mailing address:** 5525 SCHULTZ DR, STE B, SYLVANIA, OH 43560-2383
- **Mailing address phone:** (440) 942-1110
- **Mailing address fax:** (440) 942-0608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2010
- **Last updated:** 11/28/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0072196 | — | OH |