Gulf Coast Mobile Imaging

NPI #1659425544 in Covington, Louisiana

Provider Information

NPI Number: 1659425544
Entity Type: Organization
Organization Name: Gulf Coast Mobile Imaging
Primary Specialty: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Enumeration Date: Jan 22, 2007
Last Updated: Jun 17, 2022

Practice Location

Address: 7020 HIGHWAY 190 STE A
City: Covington
State: Louisiana
ZIP Code: 70433-4962
Phone: (337) 594-9637

Authorized Official

Name: MRS. DEANNA FASELT, VICE PRESIDENT
Title: OWNER
Phone: (702) 839-1133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiologic Technologist	247100000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X	Primary

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