# MISSOURI MOBILE RADIOLOGY, LLC

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

## Provider details

- **NPI number:** 1710752548
- **Authorized official:** STACIE FINKE (MANAGER)
- **Authorized official phone:** (636) 342-4023

## Contact information

- **Practice address:** 1019 W TAYLOR ST, BOWLING GREEN, MO 63334-1958
- **Practice address phone:** (636) 342-4023
- **Mailing address:** 400 CHESTERFIELD CTR STE 400, CHESTERFIELD, MO 63017-4800
- **Mailing address phone:** (636) 342-4023

## Taxonomy

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

## Other

- **Enumeration date:** 11/21/2023
- **Last updated:** 04/25/2024