Organization Name: | PREFERRED MOBILE IMAGING |
NPI Number: | 1104121839 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARSHA G JACOBS (OWNER) |
Mailing Address: | 8680 Ashton Dr Laurinburg |
State: | NC US |
Postal Code: | 283520710 |
Phone Number: | 9103183557 |
Fax Number: | 9102763291 |
NPI Enumeration Date: | 01/11/2011 |
NPI Last Update Date: | 03/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246XC2903X |
License Number: | 25204 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Cardiovascular |
Taxonomy Specialization: | Vascular Specialist |
Taxonomy Definition: |