Organization
MOBIL IMAGE RADIOLOGICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE HERNANDEZ (PRESIDENT)
(239) 369-9044
Entity
Organization
Contact information
Practice address
15 LINCOLN AVE, LEHIGH ACRES, FL 33936-6759
(239) 369-9044
(239) 369-9528
Mailing address
15 LINCOLN AVE, LEHIGH ACRES, FL 33936-6759
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0306037
—
FL
Enumeration date
03/29/2007
Last updated
08/22/2020
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