Organization
MOBILE RADIOLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH NIETO R.T. (PRESIDENT)
(956) 440-9729
Entity
Organization
Contact information
Practice address
17745 W EXPRESSWAY 83, HARLINGEN, TX 78552-3536
(956) 440-9729
(956) 440-8882
Mailing address
17745 W EXPRESSWAY 83, HARLINGEN, TX 78552-3536
(956) 440-9729
(956) 440-8882
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
R23048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086113003
—
TX
Enumeration date
11/02/2009
Last updated
10/29/2010
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