Organization
PORTABLE MEDICAL RESOURCES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN URBAN M.D. (PRESIDENT)
(815) 397-5554
Entity
Organization
Contact information
Practice address
129 PHELPS AVE, SUITE 406, ROCKFORD, IL 61108-2453
(815) 397-5554
(815) 550-0061
Mailing address
129 PHELPS AVE, SUITE 406, ROCKFORD, IL 61108-2453
(815) 397-5554
(815) 550-0061
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
—
—
247100000X
Radiologic Technologist
—
—
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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