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Organization
TRI-LAKES MOBILE ULTRASOUND INC.
Active
Organization
TRI-LAKES MOBILE ULTRASOUND INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN ANN ROGERS RDMS,RVT,RDCS (OWNER/OPERATOR)
(417) 350-8100
Entity
Organization
Contact information
Practice address
5273 S AARON AVE, SPRINGFIELD, MO 65810-2879
(417) 350-8100
(417) 823-0464
Mailing address
5273 S AARON AVE, SPRINGFIELD, MO 65810-2879
(417) 350-8100
(417) 823-0464
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
27998
MO
Other
Enumeration date
03/09/2009
Last updated
04/28/2009
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