Organization
ROCHESTER MOBILE X-RAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB RUSSELL WUERSTLE (PRESIDENT)
(814) 459-6820
Entity
Organization
Contact information
Practice address
200 BUELL ROAD, SUITE 14, ROCHESTER, NY 14624-3134
(800) 836-9729
(585) 436-5340
Mailing address
1769 W 26TH ST, ERIE, PA 16508-1256
(814) 459-6280
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01690720
—
NY
05
—
02459630
—
NY
05
—
02998052
—
NY
Enumeration date
10/25/2006
Last updated
02/27/2023
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