Provider Demographics
NPI:1306047899
Name:MOBILE IMAGING SOLUTIONS INC
Entity type:Organization
Organization Name:MOBILE IMAGING SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAVINDER
Authorized Official - Middle Name:RAO
Authorized Official - Last Name:GUNIGANTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-234-8202
Mailing Address - Street 1:330 S 5TH ST
Mailing Address - Street 2:SUITE 404
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-5825
Mailing Address - Country:US
Mailing Address - Phone:580-234-8202
Mailing Address - Fax:580-237-5594
Practice Address - Street 1:330 S 5TH ST
Practice Address - Street 2:SUITE 404
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-5825
Practice Address - Country:US
Practice Address - Phone:580-234-8202
Practice Address - Fax:580-237-5594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile