| Mbs-mobileimaging.com Llc | |
|
11500 S Eastern Ave Ste 150 Henderson NV 89052-5576 | |
| (725) 250-5885 | |
| Not Available |
| Full Name | Mbs-mobileimaging.com Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11500 S Eastern Ave Ste 150, Henderson, Nevada |
| Authorized Official Name and Position | Tiffany Obene (OWNER) |
| Authorized Official Contact | 9189060249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mbs-mobileimaging.com Llc 11500 S Eastern Ave Ste 150 Henderson NV 89052-5576 Ph: (725) 250-5885 | Mbs-mobileimaging.com Llc 11500 S Eastern Ave Ste 150 Henderson NV 89052-5576 Ph: (725) 250-5885 |
| NPI Number | 1851168652 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 01/20/2024 |
| Medicare PECOS PAC ID | 8729426192 |
|---|---|
| Medicare Enrollment ID | O20240403004320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851168652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Tiffany Obene |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619580503 PECOS PAC ID: 6901216860 Enrollment ID: I20201104000000 |
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