OrganizationActive
Mountain Mobile Diagnostics, Inc.
NPI 1306878996 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Bulan, KY
Provider details
- NPI number
- 1306878996
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Organization subpart
- No
- Authorized official
- J Spurlock, President/Owner(606) 487-9114
- License
- 720142 (KY)
Specialties & taxonomies
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierPrimary335V00000XLicense 720142 (KY)
Suppliers
Practice location
725 Hardburly Rd
Bulan, KY 41722-8907
Phone: (606) 487-9114
Fax: (606) 487-9114
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 896
Bulan, KY 41722-0896
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2015-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.