Provider Demographics
NPI:1851701106
Name:QUALITY MOBILE MEDICAL IMAGING LLC
Entity Type:Organization
Organization Name:QUALITY MOBILE MEDICAL IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NABIL
Authorized Official - Middle Name:ISSOUF SAID
Authorized Official - Last Name:KEITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-851-8240
Mailing Address - Street 1:802 SW SANDROCK RD
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-8227
Mailing Address - Country:US
Mailing Address - Phone:918-851-8240
Mailing Address - Fax:
Practice Address - Street 1:802 SW SANDROCK RD
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-8227
Practice Address - Country:US
Practice Address - Phone:918-851-8240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK452587261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile