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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