Midwest Mobile Radiographics

NPI #1144501552 in Oologah, Oklahoma

Provider Information

NPI Number: 1144501552
Entity Type: Organization
Organization Name: Midwest Mobile Radiographics
Primary Specialty: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Enumeration Date: Aug 30, 2011
Last Updated: Aug 30, 2011

Practice Location

Address: 2406 E FAIRFIELD CT
City: Oologah
State: Oklahoma
ZIP Code: 74053-4106
Phone: (918) 691-2688

Authorized Official

Name: RICK HANNEMAN
Title: PRESIDENT
Phone: (918) 691-2688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X	Primary

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