Mobile Medical Imaging Llc

LBN: Mobile Medical Imaging Llc
Mobile Medical Imaging Llc is an health care organization with primary practice located at 1127 Old Rd , Chapin SC 29036-8512. 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. Mobile Medical Imaging Llc can be contacted via phone (803) 917-2988, or through Jacobus, Russell Steven via phone (803) 917-2988.

Contact Information

Primary practice address
1127 Old Rd Chapin SC 29036-8512
Phone: (803) 917-2988
Fax: (803) 781-0077
Website:
Map and Directions
Authorized official contact:
Name: Jacobus, Russell Steven RT(ARRT)
Phone: (803) 917-2988

Health care specialties

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

Profile Details

NPI number 1619158862
LBN Legal business name Mobile Medical Imaging Llc
DBA Doing business as
Authorized official Jacobus, Russell Steven RT(ARRT)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2007
Last updated Mar 23rd, 2016 - about 10 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 1619158862 NPPES
South Carolina MEDICAID 498018
South Carolina Other 300005574

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