Provider Demographics
NPI:1447470018
Name:OBY'S MOBILE IMAGING
Entity type:Organization
Organization Name:OBY'S MOBILE IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGHES
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHEATAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-613-7600
Mailing Address - Street 1:3201 INTERSTATE 30 STE G
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-2602
Mailing Address - Country:US
Mailing Address - Phone:972-613-7600
Mailing Address - Fax:972-613-7601
Practice Address - Street 1:3201 INTERSTATE 30 STE G
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-2602
Practice Address - Country:US
Practice Address - Phone:972-613-7600
Practice Address - Fax:972-613-7601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities