Organization Name: | BMDMOBILE |
NPI Number: | 1750388278 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER HANCOCK (PRESIDENT) |
Mailing Address: | 3109 Grand Ave #437 Coconut Grove |
State: | FL US |
Postal Code: | 331335103 |
Phone Number: | 3053326151 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471B0102X |
License Number: | 00026813 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Bone Densitometry |
Taxonomy Definition: |