Organization · Type 2 NPI
Evergreen Mobile Imaging, Inc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Glen Ellyn, IL
Practice location
799 Roosevelt Rd, BLDG#3, SUITE#005
Glen Ellyn, IL 60137-5908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary | 335V00000X | None listed |
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier: 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 service…
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About NPI 1245319219
Evergreen Mobile Imaging, Inc's National Provider Identifier is 1245319219, issued on Nov 2, 2006. The primary taxonomy on file is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (335V00000X), and the practice location is in Glen Ellyn, IL. The record was last updated on Sep 15, 2008.