# COM-RAD MOBILE IMAGING, LLC

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

## Provider details

- **NPI number:** 1902934110
- **Authorized official:** MR. MARK MINTON (PRESIDENT)
- **Authorized official phone:** (423) 650-8353

## Contact information

- **Practice address:** 339 BENWOOD TRL NE, CLEVELAND, TN 37323-5096
- **Practice address phone:** (423) 650-8353
- **Practice address fax:** (336) 245-0649
- **Mailing address:** 339 BENWOOD TRL NE, CLEVELAND, TN 37323-5096
- **Mailing address phone:** (423) 650-8353
- **Mailing address fax:** (336) 245-0649

## Taxonomy

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

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 07/19/2011