Organization
STAT MOBILE IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH BRIAN SMITH R.T.(R) (RADIOLOGIC TECHNOLOGIST)
(336) 399-6947
Entity
Organization
Contact information
Practice address
1515 PRICE GRANGE RD, STONEVILLE, NC 27048-8294
(336) 399-6947
Mailing address
1515 PRICE GRANGE RD, STONEVILLE, NC 27048-8294
(336) 573-3760
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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