| Organization Name: | MRS MOBILE RADIOLOGIC SERVICE LTD |
| NPI Number: | 1003150327 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYNDA SHALOSKY (VICE PRESIDENT) |
| Mailing Address: | 419 E Front St Dover |
| State: | OH US |
| Postal Code: | 446221869 |
| Phone Number: | 3303431846 |
| Fax Number: | |
| NPI Enumeration Date: | 11/27/2012 |
| NPI Last Update Date: | 03/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471V0105X |
| License Number: | 79220 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Vascular Sonography |
| Taxonomy Definition: | |