Organization
PREFERRED MOBILE IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA G JACOBS RCS, RVS (OWNER)
(910) 318-3557
Entity
Organization
Contact information
Practice address
8680 ASHTON DR, LAURINBURG, NC 28352-0710
(910) 318-3557
(910) 276-3291
Mailing address
8680 ASHTON DR, LAURINBURG, NC 28352-0710
(910) 318-3557
(910) 276-3291
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
25204
NC
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
25204
NC
2471S1302X
Sonography Radiologic Technologist
25204
NC
Other
Enumeration date
01/11/2011
Last updated
03/30/2011
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