Organization
MORAN DIAGNOSTIC SERVICES, LLC
Active
Other names
Physicians Mobile Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER A MORAN DC (PRESIDENT)
(616) 902-5759
Entity
Organization
Contact information
Practice address
777 JORDAN LAKE AVE, LAKE ODESSA, MI 48849-1217
(616) 902-5759
(616) 773-1292
Mailing address
PO BOX 634, LAKE ODESSA, MI 48849-0634
(616) 902-5759
(616) 773-1292
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
D5394A
MI
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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