Organization
GENESIS MOBILE X-RAY, LLC
Active
Organization
GENESIS MOBILE X-RAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH S NAVEED (PRESIDENT)
(817) 522-1002
Entity
Organization
Contact information
Practice address
110 W RANDOL MILL RD, STE 228, ARLINGTON, TX 76011-4611
(817) 522-1002
Mailing address
110 W RANDOL MILL RD, STE 228, ARLINGTON, TX 76011-4611
(817) 522-1002
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R38642
DSHS
TX
Enumeration date
03/12/2014
Last updated
06/30/2017
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