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Organization

MOBILE X-RAY IMAGING INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TODD GELBAUGH (PRESIDENT)
(717) 561-4940
Entity
Organization

Contact information

Practice address
945 EAST PARK DR, SUITE 102, HARRISBURG, PA 17111
(717) 561-4940
(717) 561-4467
Mailing address
945 EAST PARK DR, SUITE 102, HARRISBURG, PA 17111
(717) 561-4940
(717) 561-4467

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
PA
261QR0208X
Mobile Radiology Clinic/Center
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015231320004
PA
01
027624300
FEDERAL BLACK LUNG ID
PA
01
130594
MED-PLUS NON-PAR ID
PA
01
310243
HIGHMARK
01
50002712
CAPITAL
01
604810100
ACS PROVIDER ID
PA
01
P00093629
RAILROAD
Enumeration date
07/26/2005
Last updated
07/21/2022
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