Provider Demographics
NPI:1851536866
Name:QUALITY MOBILE X-RAY SERVICES, INC.
Entity Type:Organization
Organization Name:QUALITY MOBILE X-RAY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:L
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-391-4515
Mailing Address - Street 1:341 WALLACE RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-8000
Mailing Address - Country:US
Mailing Address - Phone:615-391-4515
Mailing Address - Fax:615-777-9015
Practice Address - Street 1:341 WALLACE RD
Practice Address - Street 2:SUITE D
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-8000
Practice Address - Country:US
Practice Address - Phone:615-391-4515
Practice Address - Fax:615-777-9015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3790188Medicare PIN
TN37901881Medicare PIN
TN3402520Medicare PIN