| Organization Name: | MOBILE X-RAY SERVICES |
| NPI Number: | 1396079760 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES PATRICK BERRIGAN (OWNER) |
| Mailing Address: | 1208 Eaglecrest St Suite E Nixa |
| State: | MO US |
| Postal Code: | 657148458 |
| Phone Number: | 4178639729 |
| Fax Number: | 4178630720 |
| NPI Enumeration Date: | 10/01/2009 |
| NPI Last Update Date: | 10/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | 000040114 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |