Organization
MOBILE X-RAY SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA J SCHMIDT (OWNER)
(509) 527-1274
Entity
Organization
Contact information
Practice address
1014 SCHOOL AVE, WALLA WALLA, WA 99362-1497
(509) 527-1274
Mailing address
1014 SCHOOL AVE, WALLA WALLA, WA 99362-1497
(509) 527-1274
(509) 522-4938
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8866053
LAGACY PROVIDER
WA
Enumeration date
03/01/2007
Last updated
06/04/2008
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