Organization
LIBERTY PORTABLE X-RAY OHIO LLC
Active
Parent organization
LIBERTY PORTABLE X-RAY OHIO LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIBERTY PORTABLE X-RAY OHIO LLC
Authorized official
DANIELLE PHILIPPS (DIRECTOR OF OPERATIONS)
(717) 607-1700
Entity
Organization
Contact information
Practice address
1430 OAK HARBOR RD, FREMONT, OH 43420-1025
(717) 607-1700
(717) 607-1710
Mailing address
955 BROADWAY, WOODMERE, NY 11598-1733
(717) 607-1700
(717) 607-1710
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/28/2024
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