Organization
MOBILE RADIOLOGY LABS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L TARVER N/A (PRESIDENT)
(301) 782-2377
Entity
Organization
Contact information
Practice address
1 RESEARCH CT, ROCKVILLE, MD 20850-6222
(301) 782-2377
(301) 782-7724
Mailing address
PO BOX 520, MARSHALL, VA 20116-0520
(301) 782-2377
(301) 782-7724
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
298514
ANTHEM
VA
05
—
434227500
—
MD
Enumeration date
06/10/2006
Last updated
06/23/2008
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