Organization
MOBILE DIAGNOSTIC IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE F. WEES (OWNER)
(740) 266-4908
Entity
Organization
Contact information
Practice address
403 CANTON RD, WINTERSVILLE, OH 43953-3907
(740) 266-4908
(740) 264-4376
Mailing address
PO BOX 2461, WINTERSVILLE, OH 43953-0461
(740) 266-4908
(740) 266-4908
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705585
BLUE CROSS BLUE SHIELD
—
05
—
07873168
—
OH
05
—
6803009000
—
WV
Enumeration date
09/04/2008
Last updated
10/15/2008
Update your record
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