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Hannibal Mobile Diagnostics, Llc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Hannibal, Missouri
NPI 1417016114

Hannibal Mobile Diagnostics, Llc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Hannibal, MO. Hannibal Mobile Diagnostics, Llc practices in Hannibal, MO. The NPI Number for Hannibal Mobile Diagnostics, Llc is 1417016114 and holds a License No. (Missouri).

The current practice location address for Hannibal Mobile Diagnostics, Llc is 2910 St. Mary's Ave., Hannibal, MO and can be reached out via phone at 573-221-7870 and via fax at 573-221-9323. You can also correspond with Hannibal Mobile Diagnostics, Llc through the mailing address at 2910 ST. MARY'S AVE., HANNIBAL, MO - 63401 (mailing address contact number: 573-221-7870).

Location: 2910 St. Mary's Ave., Hannibal, MO, 63401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417016114
Provider Name
Hannibal Mobile Diagnostics, Llc
Credential
Provider Entity Type
Organization
Address
2910 St. Mary's Ave., Hannibal, MO, 63401
Phone Number
573-221-7870
Fax Number
573-221-9323
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00126139 01 MO RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2910 St. Mary's Ave.
City
Hannibal
State
Missouri
Zip
63401
Phone Number
573-221-7870
Fax Number
573-221-9323
person
Provider Business Mailing Address Details
Address
2910 St. Mary's Ave.
City
Hannibal
State
Missouri
Zip
63401
Phone Number
573-221-7870
Fax Number
573-221-9323
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
(Missouri)
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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