Organization
MIDWEST MOBILE IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAYLOR (OWNER)
(888) 426-9210
Entity
Organization
Contact information
Practice address
2833 E BATTLEFIELD ST STE A100, SPRINGFIELD, MO 65804-4084
(888) 426-9210
(888) 426-9214
Mailing address
PO BOX 4241, SPRINGFIELD, MO 65808-4241
(888) 426-9210
(888) 426-9214
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
08/04/2023
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