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Organization
MICHIGAN MOBILE IMAGING, LLC
Active
Organization
MICHIGAN MOBILE IMAGING, LLC
Active
Other names
Oakwood Michigan Mobil Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY VARGAS (CORPORATE DIRECTOR)
(313) 593-7623
Entity
Organization
Contact information
Practice address
15500 LUNDY PKWY, ATTN: TAMMY FLYNN (N201), DEARBORN, MI 48126-2778
(313) 586-5669
(313) 791-4563
Mailing address
15500 LUNDY PKWY, ATTN: TAMMY FLYNN (N201), DEARBORN, MI 48126-2778
(313) 586-5669
(313) 791-4563
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
—
NULL
246Z00000X
Other Specialist/Technologist
—
—
247100000X
Radiologic Technologist
—
NULL
247100000X
Radiologic Technologist
—
—
2471S1302X
Sonography Radiologic Technologist
—
NULL
2471S1302X
Sonography Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
NULL
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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