Organization Name: | QUALITY MOBILE MEDICAL IMAGING LLC |
NPI Number: | 1851701106 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NABIL ISSOUF SAID KEITA (OWNER) |
Mailing Address: | 508 Hill Cir Centerton |
State: | AR US |
Postal Code: | 727199243 |
Phone Number: | 9188518240 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2014 |
NPI Last Update Date: | 09/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0208X |
License Number: | 452587 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology, Mobile |
Taxonomy Definition: |