Organization
MOBILE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLEY D MONROE RT (OWNER)
(601) 693-4893
Entity
Organization
Contact information
Practice address
1807 24TH AVE, MERIDIAN, MS 39301-3116
(601) 693-4893
Mailing address
PO BOX 3713, MERIDIAN, MS 39303-3713
(601) 693-4893
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
38-9-009
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
630000006
MEDICARE PTAN
MS
Enumeration date
08/15/2005
Last updated
04/14/2008
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