# MIDWEST MODERN IMAGING, LLC

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

## Provider details

- **NPI number:** 1275750481
- **Authorized official:** DR. AMEER KABOUR M.D. (DIRECTOR)
- **Authorized official phone:** (419) 251-7795

## Contact information

- **Practice address:** 2409 CHERRY ST, SUITE 100, TOLEDO, OH 43608-2625
- **Practice address phone:** (419) 251-3700
- **Practice address fax:** (419) 251-6827
- **Mailing address:** 2409 CHERRY ST, SUITE 100, TOLEDO, OH 43608-2625
- **Mailing address phone:** (419) 251-3700
- **Mailing address fax:** (419) 251-6827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 11/13/2007