| Organization Name: | MOBILE DIAGNOSTIC IMAGING LLC |
| NPI Number: | 1205840063 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | G SHANE WEES (OWNER) |
| Mailing Address: | 120 Springdale Ave Suite 3 Wintersville |
| State: | OH US |
| Postal Code: | 439534133 |
| Phone Number: | 7402664908 |
| Fax Number: | 7402644376 |
| NPI Enumeration Date: | 07/28/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 247100000X |
| License Number: | PENDING |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |