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Contact Information

MRI MOBILE HOLDINGS LIMITED PARTNERSHIP
1512 12TH AVENUE ROAD
NAMPA, ID83686-6008
 Phone: 208-947-7002
 Fax: 208-947-7003
 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 MRI MOBILE HOLDINGS LIMITED PARTNERSHIP

NPI Number 1881649234
LBN Legal business name MRI MOBILE HOLDINGS LIMITED PARTNERSHIP
Authorized official DAVID GILES - (CEO/MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2006
Last updated 12/28/2015 - About 10 years ago
Identifiers
ID Medicaid 002641800
OR Medicaid 070904
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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