Organization
KOSMA MOBILE X-RAY CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI J. KOSMA R.T.R. (ADMINISTRATOR)
(417) 863-9729
Entity
Organization
Contact information
Practice address
1678 S FARM ROAD 133, SPRINGFIELD, MO 65807-1013
(417) 863-9729
(417) 863-0720
Mailing address
1678 S FARM ROAD 133, SPRINGFIELD, MO 65807-1013
(417) 863-9729
(417) 863-0720
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
26-9808
MO
Other
Enumeration date
07/12/2005
Last updated
08/22/2020
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