Mobility DX, LLC

Primary specialty

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

Legal business name

MOBILITY DX, LLC

Practice address

1372 Meadow Crest Dr
South Lake Tahoe, CA 96150-7413

Phone

(408) 373-6176

NPI assigned

Jul 23, 2019

Last updated

Oct 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lloyd M Jones, RT (R) (CT) (CIIP)NPI 1194093740

Title

Owner/Technologist

Phone

(408) 373-6176

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043863525. Details of each certification follow.

• CCN 05X0010064 Portable X-ray supplier · Active · Name & address match · Details

Portable X-ray supplier certification: CCN 05X0010064

Legal name

MOBILITY DX

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Oct 5, 2021

Last certification

Oct 5, 2021

Ownership / control type

Corporation

Facility address

1372 Meadow Crest Drive
South Lake Tahoe, CA 96150

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lloyd M Jones, RT R CT

  • Sonography Radiologic Technologist
  • South Lake Tahoe, CA
  • NPI 1194093740
  NPD (past) Authorized official

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1043863525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 MEADOW CREST DR",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507413",
            "telephone_number": "408-373-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 MEADOW CREST DR",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507413",
            "telephone_number": "408-373-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY DX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/TECHNOLOGIST",
        "authorized_official_telephone_number": "408-373-6176",
        "authorized_official_credential": "RT (R) (CT) (CIIP)"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.mobilitydx.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "1372 Meadow Crest Dr",
            "city": "South Lake Tahoe",
            "state": "CA",
            "country_code": "US",
            "postal_code": "961507413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leigh Wayne Miller, MD
• Sydney Ione Miller, MA, PPS
• Leeann Mills, PTA
• Mireya Ortega DDS Inc. (High Sierra Dental Care)
• MNT Scientific
• Erin Moffat
• Jessica Monaloy, PT
• Allison Leach Monroe, MD
• Jason Edward Moore
• Londa Moore, CAREGIVER

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.