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Mobile Diagnostic Services, Inc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Dunlap, Illinois
NPI 1043320724

Mobile Diagnostic Services, Inc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Dunlap, IL. Mobile Diagnostic Services, Inc practices in Dunlap, IL. The NPI Number for Mobile Diagnostic Services, Inc is 1043320724 and holds a License No. 335V00000X (Illinois).

The current practice location address for Mobile Diagnostic Services, Inc is 1719 W Woodside Dr, Dunlap, IL and can be reached out via phone at 309-689-0243 and via fax at 309-689-0205.

Location: 1719 W Woodside Dr, Dunlap, IL, 61525-9572
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043320724
Provider Name
Mobile Diagnostic Services, Inc
Credential
Provider Entity Type
Organization
Address
1719 W Woodside Dr, Dunlap, IL, 61525-9572
Phone Number
309-689-0243
Fax Number
309-689-0205
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0259648 05 IA
institution
Provider Business Practice Location Address Details
Address
1719 W Woodside Dr
City
Dunlap
State
Illinois
Zip
61525-9572
Phone Number
309-689-0243
Fax Number
309-689-0205
person
Provider Business Mailing Address Details
Address
1719 W Woodside Dr
City
Dunlap
State
Illinois
Zip
61525-9572
Phone Number
309-689-0243
Fax Number
309-689-0205
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
335V00000X (Illinois)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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