Organization
MOBILERAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMIE ARTHUR KIRCHER SR. (CEO)
(631) 642-2240
Entity
Organization
Contact information
Practice address
27 TIMBERLINE CIR # CL, PORT JEFFERSON, NY 11777-1440
(631) 642-2240
(631) 331-9868
Mailing address
PO BOX 708, MOUNT SINAI, NY 11766-0708
(631) 642-2240
(631) 331-9868
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
51023476
NY
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
51023476
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02333842
—
NY
05
—
02935037
—
NY
Enumeration date
01/18/2008
Last updated
06/15/2009
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