Organization · NPI-2

Bloom Mobile Ultrasound LLC

Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier · Dayton, OH

NPI number1851205389
StatusActive
Last updated in NPPESOct 1, 2026

Details

NPI
1851205389
Entity type
Organization (NPI-2)
Legal business name
Bloom Mobile Ultrasound LLC
Organization subpart
No
Enumeration date
Oct 1, 2026
Certification date
Oct 1, 2026
Last updated
Oct 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier––Yes

Practice location

8535 N Dixie Dr Ste D
Dayton, OH 45414-2491

Phone 937-572-5972

Mailing address

1534 Ashworth Dr
Vandalia, OH 45377-9503

Phone 937-572-5972 · Fax 937-518-7793

Authorized official

Holly Coby
Owner
9375725972

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