Organization
NATIONAL MOBILE X-RAY
Active
Other names
MMDS of North Carolina
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET DUNBAR (COO)
(512) 673-7552
Entity
Organization
Contact information
Practice address
251 DOMINION DRIVE SUITE 112, MORRISVILLE, NC 27560
(980) 202-5227
Mailing address
2121 LOHMAN'S CROSSING, STE 504 PMB 454, LAKEWAY, TX 78734-5217
(980) 202-5227
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409800
—
NC
01
—
P00077237
MEDICARE RAILROAD
NC
Enumeration date
09/16/2005
Last updated
02/26/2019
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