# MOBILE DIAGNOSTIC X-RAY, INC.

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

## Provider details

- **NPI number:** 1831150606
- **Authorized official:** JACK BARKER (PRESIDENT)
- **Authorized official phone:** (732) 269-4343

## Contact information

- **Practice address:** 1091 BAYVIEW AVE, BAYVILLE, NJ 08721-3130
- **Practice address phone:** (732) 269-4343
- **Mailing address:** 1091 BAYVIEW AVE, BAYVILLE, NJ 08721-3130

## Taxonomy

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

## Other

- **Enumeration date:** 03/31/2006
- **Last updated:** 02/04/2010