Organization
UNIVERSAL IMAGING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH MUSSOG RT (R) (CEO)
(443) 235-4991
Entity
Organization
Contact information
Practice address
13154 COIT RD, #202, DALLAS, TX 75240-5773
(443) 235-4991
Mailing address
PO BOX 41, MUNCIE, IN 47308-0041
(765) 284-0493
(765) 284-2434
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Enumeration date
09/26/2013
Last updated
08/17/2016
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