Organization
DX PAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WALL (MANAGER/OWNER)
(813) 758-0319
Entity
Organization
Contact information
Practice address
6706 SEA ROBIN PL, TAMPA, FL 33615-2548
(813) 758-0319
Mailing address
6706 SEA ROBIN PL, TAMPA, FL 33615-2548
(813) 758-0319
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
—
—
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
06/02/2014
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