Organization
MOBILE MEDICAL IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DESMOND COURTNEY BROWN RT (CEO)
(301) 680-1900
Entity
Organization
Contact information
Practice address
12501 PROSPERITY DR, SUITE 455, SILVER SPRING, MD 20904-1689
(301) 680-1900
(301) 680-0920
Mailing address
12501 PROSPERITY DR, SUITE 455, SILVER SPRING, MD 20904-1689
(301) 680-1900
(301) 680-0920
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04697300
—
DC
05
—
777788400
—
MD
01
—
P01391384
RAILROAD MEDICARE PIN
—
Enumeration date
04/18/2007
Last updated
04/20/2017
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