# BIOTECH X-RAY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BioTech X-ray, Inc., MOBILE MEDICAL DIAGNOSTICS OF LACROSSE, INC., MOBILE MEDICAL DIAGNOSTICS OF LACROSSE, INC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407936693
- **Authorized official:** RICHARD WILLIAM HUNT (VP COMPLIANCE & INTERNAL OPERATIONS)
- **Authorized official phone:** (877) 909-9729

## Contact information

- **Practice address:** 2895 ALGOMA BLVD STE C, OSHKOSH, WI 54901-1012
- **Practice address phone:** (920) 230-9729
- **Practice address fax:** (920) 230-2061
- **Mailing address:** 2895 ALGOMA BLVD STE C, OSHKOSH, WI 54901-1012
- **Mailing address phone:** (920) 230-9729
- **Mailing address fax:** (920) 230-2061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471C3402X | Radiography Radiologic Technologist | — | NULL | — |
| 2471C3402X | Radiography Radiologic Technologist | — | — | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 02/20/2023