Provider Demographics
NPI:1114118171
Name:ZOOMX MOBILE DIAGNOSTIC SERVICES, LLC
Entity Type:Organization
Organization Name:ZOOMX MOBILE DIAGNOSTIC SERVICES, LLC
Other - Org Name:ZOOMX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEO
Authorized Official - Middle Name:SAUL
Authorized Official - Last Name:EISENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-538-9444
Mailing Address - Street 1:30230 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2267
Mailing Address - Country:US
Mailing Address - Phone:248-538-9444
Mailing Address - Fax:248-851-8585
Practice Address - Street 1:30230 ORCHARD LAKE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2267
Practice Address - Country:US
Practice Address - Phone:248-538-9444
Practice Address - Fax:248-851-8585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier