Organization
RED RIVER MOBILE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA PHILLIPS RT (R) (OWNER/OPERATOR)
(580) 916-2179
Entity
Organization
Contact information
Practice address
2807 LORRIE LN, DURANT, OK 74701-1660
(580) 916-2179
Mailing address
2807 LORRIE LN, DURANT, OK 74701-1660
(580) 916-2179
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
900078
OK
Other
Enumeration date
01/29/2016
Last updated
11/15/2016
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