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Organization
SUPERIOR MOBILE SONOGRAPHY
Active
Organization
SUPERIOR MOBILE SONOGRAPHY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WEBSTER (OWNER)
(906) 202-9378
Entity
Organization
Contact information
Practice address
N7760 CARMODY RD, MUNISING, MI 49862-9171
(906) 202-9378
Mailing address
N7760 CARMODY RD, MUNISING, MI 49862-9171
(906) 202-9378
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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