| NPI | 1356428569 |
|---|---|
| Former Legal Business Name | MOBILE CV 2000 INC |
| Entity Type | Organization |
| Authorized Contact | WAR T VICHAYANOND President & CEO 601-799-5169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist (Licence: ARDMS11532) |
| Additional Taxonomies | 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: ARDMS11532) |
| 2471S1302X Radiologic Technologist, Sonography (Licence: ARDMS) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-11-02 |