Organization
SOUTHWEST MOBILE IMAGING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ETAI SOOLIMAN (CEO)
(224) 337-1000
Entity
Organization
Contact information
Practice address
472 FARM ROAD 2297, SULPHUR SPRINGS, TX 75482-4719
(903) 439-6085
(903) 439-0462
Mailing address
472 FARM ROAD 2297, SULPHUR SPRINGS, TX 75482-4719
(903) 439-6085
(903) 439-0462
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
R20353
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086092601
—
TX
Enumeration date
10/23/2007
Last updated
01/02/2025
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