Organization
MOBILE MEDICAL SERVICES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NISHA J WILKINS (MANAGER)
(806) 319-7981
Entity
Organization
Contact information
Practice address
3602 24TH STREET, LUBBOCK, TX 79410
(806) 281-0499
(806) 281-0360
Mailing address
5109 82ND ST, UNIT 7, PMB 244, LUBBOCK, TX 79424-3000
(806) 319-7981
(806) 281-0360
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
—
TX
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086104902
—
TX
01
—
459865
BC/BS PROVIDER ID
TX
Enumeration date
10/17/2006
Last updated
07/21/2022
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