Provider Demographics
NPI:1861564874
Name:HEALTH LINK MOBILE X-RAY LLC
Entity type:Organization
Organization Name:HEALTH LINK MOBILE X-RAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:T
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:RT(R)
Authorized Official - Phone:580-554-9729
Mailing Address - Street 1:PO BOX 6061
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73702-6061
Mailing Address - Country:US
Mailing Address - Phone:580-554-9729
Mailing Address - Fax:866-877-5974
Practice Address - Street 1:1918 INDIAN DR
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703
Practice Address - Country:US
Practice Address - Phone:580-554-9729
Practice Address - Fax:866-877-5974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiographyGroup - Single Specialty