Organization
3D MOBILE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH KATHERINE VESSELL (OWNER/OPERATOR)
(309) 751-7552
Entity
Organization
Contact information
Practice address
2501 E 1704TH RD, OTTAWA, IL 61350-9331
(309) 751-7552
Mailing address
2501 E 1704TH RD, OTTAWA, IL 61350-9331
(309) 751-7552
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
9259150
IL
Other
Enumeration date
02/21/2010
Last updated
02/21/2010
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