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Organization
ALLIED MOBILE SONO, INC.
Active
Organization
ALLIED MOBILE SONO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES P LENNIE (PRESIDENT/COO)
(904) 247-2674
Entity
Organization
Contact information
Practice address
3545 SAINT JOHNS BLUFF RD S, SUITE 1 # 274, JACKSONVILLE, FL 32224-2682
(904) 247-2674
(904) 247-3944
Mailing address
3545 SAINT JOHNS BLUFF RD S, SUITE 1 # 274, JACKSONVILLE, FL 32224-2682
(904) 247-2674
(904) 247-3944
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC6630
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V3066
FLORIDA BC/BS
—
Enumeration date
10/26/2005
Last updated
09/10/2007
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