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Organization
MJM DIAGNOSTICS LLC
Active
Organization
MJM DIAGNOSTICS LLC
Active
Other names
New Frontier Mobile Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF BLACKWOOD (CHIEF EXECUTIVE OFFICER)
(913) 787-1555
Entity
Organization
Contact information
Practice address
1301 OAK ST STE 713, KANSAS CITY, MO 64106-2913
(833) 763-6363
Mailing address
1301 OAK ST STE 713, KANSAS CITY, MO 64106-2913
(833) 763-6363
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
Other
Enumeration date
11/08/2019
Last updated
09/02/2020
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