Organization
LOCAL PORTABLE IMAGING LLC
Active
Organization
LOCAL PORTABLE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE GIBBS (OWNER)
(409) 625-1574
Entity
Organization
Contact information
Practice address
405 MOUNTAIN MEADOW CIR, HEMPHILL, TX 75948-3643
(409) 625-1574
(409) 625-0985
Mailing address
405 MOUNTAIN MEADOW CIR, HEMPHILL, TX 75948-3643
(409) 625-1574
(405) 625-0985
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
R35279
TX
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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