# KOSMA MOBILE X-RAY CO., INC.

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

## Provider details

- **NPI number:** 1427056522
- **Authorized official:** MS. LORI J. KOSMA R.T.R. (ADMINISTRATOR)
- **Authorized official phone:** (417) 863-9729

## Contact information

- **Practice address:** 1678 S FARM ROAD 133, SPRINGFIELD, MO 65807-1013
- **Practice address phone:** (417) 863-9729
- **Practice address fax:** (417) 863-0720
- **Mailing address:** 1678 S FARM ROAD 133, SPRINGFIELD, MO 65807-1013
- **Mailing address phone:** (417) 863-9729
- **Mailing address fax:** (417) 863-0720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 26-9808 | MO | Yes |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 08/22/2020