Organization
MOBILE DIAGNOSTIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY MOORE (VICE PRESIDENT)
(309) 208-0899
Entity
Organization
Contact information
Practice address
7930 N UNIVERSITY ST, SUITE 101, PEORIA, IL 61615-1802
(309) 689-0243
Mailing address
7930 N UNIVERSITY ST, SUITE 101, PEORIA, IL 61615-1802
(309) 689-0243
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
10/01/2008
Last updated
10/22/2008
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