# DIAGNOSTIC MOBILE XRAY OF ENID

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

## Provider details

- **NPI number:** 1518027507
- **Authorized official:** MRS. ELIZABETH BORGERT (PRESIDENT)
- **Authorized official phone:** (405) 330-0055

## Contact information

- **Practice address:** 247 S COLTRANE RD, EDMOND, OK 73034-6730
- **Practice address phone:** (405) 330-0055
- **Mailing address:** PO BOX 3637, EDMOND, OK 73083-3637
- **Mailing address phone:** (405) 330-0055

## Taxonomy

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

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 07/16/2007