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Organization

MIDWEST MOBILE ULTRASOUND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY D ASHBY (PRESIDENT/CEO)
(812) 425-4681
Entity
Organization

Contact information

Practice address
245 W ROOSEVELT RD, UNIT 77 BUILDING 11, WEST CHICAGO, IL 60185-3739
(630) 293-8718
(630) 293-8724
Mailing address
1031 MOUNT AUBURN RD, EVANSVILLE, IN 47720-8226
(812) 425-4681
(812) 425-2564

Taxonomy

Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
IN

Other

Enumeration date
01/09/2009
Last updated
01/09/2009
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