Provider Profile
MOBILE RAD & EKG SERVICE INC
Portable X-Ray
FACILITY PROFILE
Street Address
- 13773 ICOT BLVD SUITE 502
CLEARWATER, FL 33760
County: Pinellas - Phone: (727) 461-9642
Mailing Address
- PO BOX 17159
CLEARWATER, FL 33762-0159
County: Pinellas - Phone: (727) 461-9642
AHCA Reports
Inspection ReportsInspection Details
Facility Information:
| Facility/Provider Type: | Portable X-Ray |
| Administrator: | Not Available |
| Financial Officer: | Not Available |
| Owner/Licensee: | MOBILE RADIOLOGY & EKG SERVICE INC |
| Owner/Licensee Since: | 3/4/2004 |
| Profit Status: | For-Profit |
| Licensed Beds: | Not Available |
| AHCA Number (File Number): | 34 |
| AHCA Field Office: | 05 |
| Medicare Number: | 10X0009817 |
| Current License Effective: | 7/28/2021 |
| Current License Expires: | Not Available |
| Medicare Status: | CLOSED |
Services/Characteristics
Not Available
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.