Organization
MOBILE VISIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CALEB C FORT (CEO)
(336) 245-0647
Entity
Organization
Contact information
Practice address
3330 HEALY DR STE 100, WINSTON SALEM, NC 27103-2024
(336) 245-0647
(336) 245-0649
Mailing address
7820 N POINT BLVD STE 101, WINSTON SALEM, NC 27106-3299
(336) 245-0647
(336) 245-0649
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8105027
—
NC
Enumeration date
03/29/2006
Last updated
07/21/2022
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