OrganizationActive
Hannibal Mobile Diagnostics, LLC
NPI 1417016114 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Hannibal, MO
Provider details
- NPI number
- 1417016114
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Brandon Selle, Administrator(573) 221-7870
Specialties & taxonomies
Suppliers
Practice location
2910 St. Mary'S Ave.
Hannibal, MO 63401
Phone: (573) 221-7870
Fax: (573) 221-9323
Approximate (ZIP-level) locationGet directions
Mailing address
2910 St. Mary'S Ave.
Hannibal, MO 63401
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.