Elite Mobile Diagnostic Services

LBN: Elite Mobile Diagnostic Services
Elite Mobile Diagnostic Services is an health care organization with primary practice located at 1229 Monroe Ave , Dunmore PA 18509-2807. The organization recently has only one registered license in Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, which is considered as the primary health care specialty. Elite Mobile Diagnostic Services can be contacted via phone (800) 789-7082, or through Woelkers, Paul via phone (570) 346-5115.

Contact Information

Primary practice address
1229 Monroe Ave Dunmore PA 18509-2807
Phone: (800) 789-7082
Fax: (800) 789-7082
Website:
Map and Directions
Authorized official contact:
Name: Woelkers, Paul
Phone: (570) 346-5115

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Profile Details

NPI number 1063469260
LBN Legal business name Elite Mobile Diagnostic Services
DBA Doing business as
Authorized official Woelkers, Paul
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Oct 30th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063469260 NPPES
West Virginia Other P00137989 RAILROAD MEDICARE
West Virginia MEDICAID 2521177 RAILROAD MEDICARE
West Virginia MEDICAID 86000411 RAILROAD MEDICARE
West Virginia Other P00137998 RAILROAD MEDICARE
West Virginia Other P00137995 RAILROAD MEDICARE
West Virginia MEDICAID 6802015000 RAILROAD MEDICARE

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