| Organization Name: | MOBILE HEART STATION INC |
| NPI Number: | 1356428569 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WAR T VICHAYANOND (PRESIDENT & CEO) |
| Mailing Address: | 196 Timberlane Road Picayune |
| State: | MS US |
| Postal Code: | 39466 |
| Phone Number: | 6017995169 |
| Fax Number: | 6017993998 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 11/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246XS1301X |
| License Number: | ARDMS11532 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Cardiovascular |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |