Organization
MOBILE VISIONS INS
Active
Other names
QUALITY MOBILE XRAY EAST
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN BURKEL (OFFICER)
(336) 462-4717
Entity
Organization
Contact information
Practice address
7820 N POINT BLVD, SUITE 101, WINSTON SALEM, NC 27106-3299
(336) 245-0647
(336) 245-0649
Mailing address
7820 N POINT BLVD, SUITE 101, WINSTON SALEM, NC 27106-3299
(336) 245-0647
(336) 245-0649
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409806
—
NC
01
—
P00241101
MEDICARE RAILROAD ID NUMB
NC
Enumeration date
09/12/2006
Last updated
08/22/2020
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