Organization
FOUNDATION HEALTH MOBILE IMAGING, LLC
Active
Other names
Foundation Mobile 1
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SCHAEFER (COO)
(770) 300-0101
Entity
Organization
Contact information
Practice address
2000 WELLNESS BLVD, SUITE 110, MONROE, NC 28110-7764
(704) 316-1180
(704) 316-1181
Mailing address
P.O. BOX 933559, ATLANTA, GA 31193-3559
(336) 659-1211
(336) 774-1751
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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