# ROCHESTER MOBILE X-RAY INC

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

## Provider details

- **NPI number:** 1881772895
- **Authorized official:** JACOB RUSSELL WUERSTLE (PRESIDENT)
- **Authorized official phone:** (814) 459-6280

## Contact information

- **Practice address:** 200 BUELL ROAD, SUITE 14, ROCHESTER, NY 14624-3134
- **Practice address phone:** (800) 836-9729
- **Practice address fax:** (585) 436-5340
- **Mailing address:** 1769 W 26TH ST, ERIE, PA 16508-1256
- **Mailing address phone:** (814) 459-6280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 02/27/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01690720 | — | NY |
| 05 | — | 02459630 | — | NY |
| 05 | — | 02987295 | — | NY |