Organization
MOBILE X-RAY SERVICES
Active
Other names
Kosma Mobile X-Ray
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES PATRICK BERRIGAN M.D. (OWNER)
(913) 558-9396
Entity
Organization
Contact information
Practice address
1208 EAGLECREST ST, SUITE E, NIXA, MO 65714-8458
(417) 863-9729
(417) 863-0720
Mailing address
3825 S CAMPBELL AVE, PMB # 198, SPRINGFIELD, MO 65807-5339
(417) 863-9729
(417) 863-0720
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
000040114
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GMDM6455-R001
—
MO
Enumeration date
10/01/2009
Last updated
10/01/2009
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