Organization Active NPI

Mrs Mobile Radiologic Service LTD

  • Sonography Radiologic Technologist
  • Dover, OH
National Provider Identifier
1003150327
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
79220 Issued in OH
Legal business name
MRS MOBILE RADIOLOGIC SERVICE LTD
Practice address
419 E Front St
Dover, OH 44622-1869
Phone
(330) 343-1846
NPI assigned
Nov 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lynda Shalosky
Title
Vice President
Phone
(330) 447-9159

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 247100000X R2537365 OH
Sonography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471S1302X 79220 OH Primary
Vascular Sonography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471V0105X 79220 OH

Addresses

Primary practice location

419 E Front St
Dover, OH 44622-1869

Mailing address

419 E Front St
Dover, OH 44622-1869

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1003150327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 E FRONT ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446221869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 E FRONT ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446221869",
            "telephone_number": "330-343-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRS MOBILE RADIOLOGIC SERVICE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "SHALOSKY",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "330-447-9159"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": "OH",
            "license": "R2537365",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "OH",
            "license": "79220",
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "OH",
            "license": "79220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.