Organization
MOBILE MEDICAL RESOURCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DOUGLAS MOYER (PRESIDENT)
(859) 781-6412
Entity
Organization
Contact information
Practice address
880 ALEXANDRIA PIKE, FORT THOMAS, KY 41075-4350
(859) 781-6412
(859) 781-5333
Mailing address
880 ALEXANDRIA PIKE, FORT THOMAS, KY 41075-4350
(859) 781-6412
(859) 781-5333
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
R2343884
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000113213
BLUE CROSS PROVIDER NUMBE
—
05
—
2217658
—
OH
01
—
630001613
RAILROAD MEDICARE PROVIDE
—
05
—
86000007
—
KY
Enumeration date
05/27/2006
Last updated
09/19/2008
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