Organization
MOBILE IMAGING LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH C ANDREWS (VICE PRESIDENT)
(315) 437-1622
Entity
Organization
Contact information
Practice address
7 HERBERT DRIVE, LATHAM, NY 12110-3801
(518) 785-3511
(518) 783-1090
Mailing address
6400 COLLAMER RD, EAST SYRACUSE, NY 13057-1032
(315) 437-1622
(315) 437-3190
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01738554
—
NY
05
—
01867427
—
NY
Enumeration date
09/01/2005
Last updated
12/30/2014
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