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Organization

NORTHERN MOBILE MEDICAL DIAGNOSTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OSCAR B LOPEZ M.D. (PHYSICIAN)
(251) 675-8760
Entity
Organization

Contact information

Practice address
1084 INDUSTRIAL PKWY, SUITE B, SARALAND, AL 36571-3726
(251) 675-8760
(251) 675-8100
Mailing address
1084 INDUSTRIAL PARKWAY, SUITE B, SARALAND, AL 36571
(251) 675-8760
(251) 675-8100

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10060
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H438
MEDICARE GROUP NUMBER
AL
Enumeration date
04/29/2008
Last updated
04/29/2008
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