| Organization Name: | MOBILE DIAGNOSTIC IMAGING, LIMITED LIABILITY COMPANY |
| NPI Number: | 1770536260 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | G FRED WEES (OWNER/MEMBER) |
| Mailing Address: | 403 Canton Road Wintersville |
| State: | OH US |
| Postal Code: | 439534133 |
| Phone Number: | 3047236530 |
| Fax Number: | 7402644376 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 08/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 347C00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Private Vehicle |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |