# EASTERN PORTABLE X-RAY CORP.

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

## Provider details

- **NPI number:** 1659529584
- **Authorized official:** NICOLE MARIE BONET (VICE PRESIDENT)
- **Authorized official phone:** (631) 563-7777

## Contact information

- **Practice address:** 14469 SW 43RD COURT RD, OCALA, FL 34473-2333
- **Practice address phone:** (800) 684-5800
- **Mailing address:** 14469 SW 43RD COURT RD, OCALA, FL 34473-2333
- **Mailing address phone:** (800) 684-5800

## Taxonomy

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

## Other

- **Enumeration date:** 09/04/2008
- **Last updated:** 09/04/2008