Organization · NPI-2

Bmdmobile

Radiologic Technologist, Bone Densitometry · Coconut Grove, FL

NPI number1750388278
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1750388278
Entity type
Organization (NPI-2)
Legal business name
Bmdmobile
Organization subpart
No
Enumeration date
Jun 29, 2005
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2471B0102X Radiologic Technologist, Bone Densitometry00026813ALYes

Practice location

3109 Grand Ave
#437
Coconut Grove, FL 33133-5103

Phone 305-332-6151

Mailing address

3109 Grand Ave
#437
Coconut Grove, FL 33133-5103

Phone 305-332-6151

Authorized official

Christopher Hancock
President
3053326151

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