Provider Demographics
NPI:1427355890
Name:OHIO MOBILE X-RAY INC
Entity type:Organization
Organization Name:OHIO MOBILE X-RAY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MUNEER
Authorized Official - Middle Name:
Authorized Official - Last Name:HASAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-942-1110
Mailing Address - Street 1:7547 MENTOR AVE
Mailing Address - Street 2:STE. 100
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-5438
Mailing Address - Country:US
Mailing Address - Phone:440-942-1110
Mailing Address - Fax:440-942-0608
Practice Address - Street 1:7547 MENTOR AVE
Practice Address - Street 2:STE. 100
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-5438
Practice Address - Country:US
Practice Address - Phone:440-942-1110
Practice Address - Fax:440-942-0608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty