Organization
BIOTECH X-RAY, INC.
Active
Other names
BioTech X-ray, Inc., MOBILE MEDICAL DIAGNOSTICS OF LACROSSE, INC., MOBILE MEDICAL DIAGNOSTICS OF LACROSSE, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WILLIAM HUNT (VP COMPLIANCE & INTERNAL OPERATIONS)
(877) 909-9729
Entity
Organization
Contact information
Practice address
2895 ALGOMA BLVD STE C, OSHKOSH, WI 54901-1012
(920) 230-9729
(920) 230-2061
Mailing address
2895 ALGOMA BLVD STE C, OSHKOSH, WI 54901-1012
(920) 230-9729
(920) 230-2061
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126531
UCARE OF MN
MN
05
—
337365700
—
MN
01
—
39L01MO
BC/BS OF MN
MN
05
—
42507900
—
WI
Enumeration date
10/16/2006
Last updated
02/20/2023
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