# MOBILE IMAGING OF ST LUCIE COUNTY INC

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

## Provider details

- **NPI number:** 1750382198
- **Authorized official:** MRS. ROSANNA CRAWFORD RN (OWNER)
- **Authorized official phone:** (772) 569-9729

## Contact information

- **Practice address:** 120 66TH AVE SW, VERO BEACH, FL 32968-9706
- **Practice address phone:** (772) 569-9729
- **Practice address fax:** (772) 569-2769
- **Mailing address:** 120 66TH AVE SW, VERO BEACH, FL 32968-9706
- **Mailing address phone:** (772) 569-9729
- **Mailing address fax:** (772) 569-2769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | JR28288000 | FL | Yes |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 10/01/2010