Organization
AMERICAN MOBILE X-RAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA BUSCHLE (CO-PRESIDENT)
(513) 741-1600
Entity
Organization
Contact information
Practice address
5961 SPRINGDALE RD, CINCINNATI, OH 45247-3433
(513) 741-1600
(513) 741-0960
Mailing address
5961 SPRINGDALE RD, CINCINNATI, OH 45247-3433
(513) 741-1600
(513) 741-0960
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000268761
ANTHEM
OH
01
—
1601544
EVERCARE
OH
05
—
2348785
—
OH
05
—
86000445
—
KY
Enumeration date
08/31/2006
Last updated
08/22/2020
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