Organization
MOBILE DEXA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VASANT PRABHU (PRESIDENT)
(513) 382-9328
Entity
Organization
Contact information
Practice address
8996 TERWILLIGERS VW, CINCINNATI, OH 45249-2727
(513) 382-9328
Mailing address
8996 TERWILLIGERS VW, CINCINNATI, OH 45249-2727
(513) 382-9328
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2605729
—
OH
Enumeration date
05/24/2006
Last updated
10/24/2007
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