# MOBILE X-RAY SERVICES OF SHREVEPORT BOSSIER INC

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

## Provider details

- **NPI number:** 1992856488
- **Authorized official:** MEAGAN MOTON (PRESIDENT)
- **Authorized official phone:** (318) 687-6861

## Contact information

- **Practice address:** 670 ALBEMARLE DR STE 202, SHREVEPORT, LA 71106-5946
- **Practice address phone:** (318) 687-6861
- **Practice address fax:** (318) 687-6768
- **Mailing address:** 670 ALBEMARLE DR STE 202, SHREVEPORT, LA 71106-5946
- **Mailing address phone:** (318) 687-6861
- **Mailing address fax:** (318) 687-6768

## Taxonomy

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

## Other

- **Enumeration date:** 01/13/2007
- **Last updated:** 03/29/2021