Organization
APMJ INC
Active
Organization
APMJ INC
Active
Other names
MEDICALL MOBILE DIAGNOSTIC SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH MICHAEL JORDAN (VICE PRESIDENT)
(817) 477-0942
Entity
Organization
Contact information
Practice address
1401 CRESTVIEW LN, MANSFIELD, TX 76063-5543
(817) 477-0942
(817) 477-4967
Mailing address
PO BOX 173248, ARLINGTON, TX 76003-3248
(817) 477-0942
(817) 477-4967
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
R28113
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1547648-02
—
TX
01
—
P00220314
PALMETTO GBA-RAILROAD MEDICARE
TX
Enumeration date
06/14/2007
Last updated
09/17/2009
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