Organization
CBS MOBILE XRA & EKG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL SCOTT R.T. (R) (PRESIDENT/OWNER)
(580) 475-9729
Entity
Organization
Contact information
Practice address
944 W WILLOW AVE, DUNCAN, OK 73533-4922
(580) 475-9729
(580) 475-9728
Mailing address
PO BOX 188, DUNCAN, OK 73534-0188
(580) 475-9729
(580) 475-9728
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
237277
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200043590A
—
OK
Enumeration date
10/02/2006
Last updated
05/26/2021
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