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Contact Information

MOBILE MEDICAL RESOURCES, INC.
880 ALEXANDRIA PIKE
FORT THOMAS, KY41075-4350
 Phone: 859-781-6412
 Fax: 859-781-5333
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for MOBILE MEDICAL RESOURCES, INC.

NPI # 1265489066
LBN Legal business name MOBILE MEDICAL RESOURCES, INC.
Authorized official ROBERT MOYER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2006
Last updated 09/19/2008 - About 18 years ago
Identifiers
OH License # R2343884
KY Medicaid 86000007
OH Medicaid 2217658
Other 000000113213 BLUE CROSS PROVIDER NUMBE
Other 630001613 RAILROAD MEDICARE PROVIDE
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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