Organization · NPI-2

3d Mobile Imaging LLC

Clinic/Center, Radiology, Mobile · Ottawa, IL

NPI number1417279258
StatusActive
Last updated in NPPESFeb 21, 2010

Details

NPI
1417279258
Entity type
Organization (NPI-2)
Legal business name
3d Mobile Imaging LLC
Organization subpart
No
Enumeration date
Feb 21, 2010
Last updated
Feb 21, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0208X Clinic/Center, Radiology, Mobile9259150ILYes

Practice location

2501 E 1704th Rd
Ottawa, IL 61350-9331

Phone 309-751-7552

Mailing address

2501 E 1704th Rd
Ottawa, IL 61350-9331

Phone 309-751-7552

Authorized official

Deborah Katherine Vessell
Owner/Operator
3097517552

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