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Contact Information

MOBILE X-RAY SERVICES OF SHREVEPORT BOSSIER INC
670 ALBEMARLE DR STE 202
SHREVEPORT, LA71106-5946
 Phone: 318-687-6861
 Fax: 318-687-6768
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Portable Xray Supplier

335V00000X 63 Portable X-Ray Supplier
Indicates primary specialty

NPI Profile & details for MOBILE X-RAY SERVICES OF SHREVEPORT BOSSIER INC

NPI Number 1992856488
LBN Legal business name MOBILE X-RAY SERVICES OF SHREVEPORT BOSSIER INC
Authorized official MEAGAN MOTON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/13/2007
Last updated 03/29/2021 - About 5 years ago
Identifiers
LA Medicaid 1317497
LA Other 13066 BC BS PROVIDER NUMBER
LA Other 630000359 RR MEDICARE PROVIDER NUMB
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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