Organization
MICHIGAN MOBILE IMAGING, LLC
Active
Other names
Oakwood Michigan Mobil Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY VARGAS (CORPORATE DIRECTOR)
(313) 593-7623
Entity
Organization
Contact information
Practice address
15500 LUNDY PKWY, ATTN: TAMMY FLYNN (N201), DEARBORN, MI 48126-2778
(313) 586-5669
(313) 791-4563
Mailing address
15500 LUNDY PKWY, ATTN: TAMMY FLYNN (N201), DEARBORN, MI 48126-2778
(313) 586-5669
(313) 791-4563
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
—
—
247100000X
Radiologic Technologist
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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