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Contact Information

MOBILERAY INC
1886 GOLA DR
FAYETTEVILLE, NC28301-0522
 Phone: 910-488-7752
 Fax: 910-221-7037
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for MOBILERAY INC

NPI Number 1427184845
LBN Legal business name MOBILERAY INC
Authorized official EMERY GIBBS - (CHEIF OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NC License # 285746
NC Medicaid 3409818
NC Other 0181Y BLUECROSS BLUE SHIELD OF
OH Other 220NMEDCAREPRO ANTHEM BLUE CROSS AND BLU
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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