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Organization

MOBILE MEDICAL DIAGNOSTIC SERVICES LLC

Active
Other names
Mobile Medical
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KUTAIBA AL ITHAWI (OWNER)
(414) 477-3398
Entity
Organization

Contact information

Practice address
5205 S 13TH ST, UNIT E, MILWAUKEE, WI 53221-3648
(414) 477-3398
Mailing address
5205 S 13TH ST, UNIT E, MILWAUKEE, WI 53221-3648
(414) 477-3398

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
03/04/2016
Last updated
03/04/2016
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