Organization
DIAGNOSTIC MOBILE XRAY OF ENID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH BORGERT (PRESIDENT)
(405) 330-0055
Entity
Organization
Contact information
Practice address
247 S COLTRANE RD, EDMOND, OK 73034-6730
(405) 330-0055
Mailing address
PO BOX 3637, EDMOND, OK 73083-3637
(405) 330-0055
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
07/16/2007
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