Organization
MOBERLY RADIOLOGY & IMAGING I, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY MCKEEN (BILLING MANAGER)
(660) 263-8986
Entity
Organization
Contact information
Practice address
1509 UNION AVE, MOBERLY, MO 65270-9407
(660) 263-8986
(660) 263-8993
Mailing address
1509 UNION AVE, PO BOX 188, MOBERLY, MO 65270-9407
(660) 263-8986
(660) 263-8993
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
714906906
—
MO
Enumeration date
02/05/2007
Last updated
10/03/2007
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