Genesis Mobile X-Ray, LLC

Primary specialty

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

Legal business name

GENESIS MOBILE X-RAY, LLC

Practice address

110 W Randol Mill Rd
Ste 228
Arlington, TX 76011-4611

Phone

(817) 522-1002

NPI assigned

Mar 12, 2014

Organization subpart

No

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

Authorized official

Name

Sarah S Naveed

Title

President

Phone

(817) 522-1002

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498780800000",
    "number": "1053737130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W RANDOL MILL RD",
            "address_2": "STE 228",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114611",
            "telephone_number": "817-522-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W RANDOL MILL RD",
            "address_2": "STE 228",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114611",
            "telephone_number": "817-522-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MOBILE X-RAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2017-06-30",
        "status": "A",
        "authorized_official_last_name": "NAVEED",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-522-1002"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "R38642",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Arlington, TX
• Providers in Arlington, TX by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.