| Organization Name: | MD MOBILE LLC |
| NPI Number: | 1063516631 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RALUCA COYLE (OWNER) |
| Mailing Address: | 1 Scenic Dr Suite 907 Highlands |
| State: | NJ US |
| Postal Code: | 077321329 |
| Phone Number: | 2017884962 |
| Fax Number: | |
| NPI Enumeration Date: | 09/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | MA073751 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |