# MICHIGAN MOBILE IMAGING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oakwood Michigan Mobil Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679844963
- **Authorized official:** MR. TIMOTHY VARGAS (CORPORATE DIRECTOR)
- **Authorized official phone:** (313) 593-7623

## Contact information

- **Practice address:** 15500 LUNDY PKWY, ATTN: TAMMY FLYNN (N201), DEARBORN, MI 48126-2778
- **Practice address phone:** (313) 586-5669
- **Practice address fax:** (313) 791-4563
- **Mailing address:** 15500 LUNDY PKWY, ATTN: TAMMY FLYNN (N201), DEARBORN, MI 48126-2778
- **Mailing address phone:** (313) 586-5669
- **Mailing address fax:** (313) 791-4563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 01/19/2012
- **Last updated:** 01/19/2012