Mobile Medical Diagnostic Services of Ohio

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

MOBILE MEDICAL DIAGNOSTIC SERVICES OF OHIO

Practice address

821 Sandusky St
Ashland, OH 44805-1143

Phone

(419) 289-8085

Fax

(419) 289-8584

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Gale Housewright

Title

Owner

Phone

(419) 289-8085

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043390941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 SANDUSKY ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448051143",
            "telephone_number": "419-289-8085",
            "fax_number": "419-289-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 SANDUSKY ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448051143",
            "telephone_number": "419-289-8085",
            "fax_number": "419-289-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL DIAGNOSTIC SERVICES OF OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOUSEWRIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-289-8085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2344887",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Miller
• Anna Irene Miller, QMHS &3
• David Miller
• Jessica Lynn Miller
• Breeaunna M. Mitchell, MA, LPC
• Sharon Anita Moherman Long, LSW
• Mohinder K. Gupta, M.D., Inc.
• Jeffrey L Montague
• Vicki L Montesano, PCCS
• Amy Moore

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Ashland, OH
• Providers in Ashland, OH by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.