Organization
MOBILE X-RAY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN C MOORE (MANAGING MEMBER)
(318) 687-6861
Entity
Organization
Contact information
Practice address
9376 MANSFIELD RD, SUITE B, SHREVEPORT, LA 71118-3181
(318) 687-6861
(318) 687-6768
Mailing address
9376 MANSFIELD RD, SUITE B, SHREVEPORT, LA 71118-3181
(318) 687-6861
(318) 687-6768
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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