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Contact Information

MOBILE MEDICAL IMAGING, LLC
12501 PROSPERITY DR
SUITE 455
SILVER SPRING, MD20904-1689
 Phone: 301-680-1900
 Fax: 301-680-0920
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for MOBILE MEDICAL IMAGING, LLC

NPI Number 1306062195
LBN Legal business name MOBILE MEDICAL IMAGING, LLC
Authorized official DESMOND BROWN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2007
Last updated 04/20/2017 - About 9 years ago
Identifiers
DC Medicaid 04697300
MD Medicaid 777788400
Other P01391384 RAILROAD MEDICARE PIN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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