Organization
QUALITY MOBILE XRAY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGE GOETZ (CEO)
(303) 371-0073
Entity
Organization
Contact information
Practice address
640 GRASSMERE PARK, SUITE 116, NASHVILLE, TN 37211-3678
(615) 391-4515
(303) 785-9283
Mailing address
PO BOX 110359, NASHVILLE, TN 37222-0359
(615) 391-4515
(303) 785-9283
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86000056
—
KY
Enumeration date
05/22/2006
Last updated
05/15/2015
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