Organization
MOBILE MEDICAL SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE RAE WALTON (PRESIDENT)
(636) 274-7179
Entity
Organization
Contact information
Practice address
10 CARRIAGE HILLS CT, CEDAR HILL, MO 63016-3527
(636) 274-7179
Mailing address
10 CARRIAGE HILLS CT, CEDAR HILL, MO 63016-3527
(636) 274-7179
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
20658
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157804
BLUE CROSS BLUE SHIELD MO
MO
Enumeration date
09/25/2006
Last updated
08/22/2020
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