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Organization

MOBILE X-RAY SPECIALISTS, INC.

Active
Other names
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Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN PATRICK MCDONOUGH R.T. (R) ARRT (CEO)
(877) 887-3829
Entity
Organization

Contact information

Practice address
6706 N 9TH AVE, PENSACOLA, FL 32504-9303
(877) 887-3829
(888) 405-0653
Mailing address
PO BOX 521292, LONGWOOD, FL 32752-1292
(877) 887-3829
(888) 405-0653

Taxonomy

Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0303071-00
FL
Enumeration date
05/23/2017
Last updated
05/23/2017
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