Mobile Imaging Associates, P.C.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

02611221 Issued in NC

Legal business name

MOBILE IMAGING ASSOCIATES, P.C.

Practice address

3013 Raeford Rd
Suite a
Fayetteville, NC 28303-5441

Phone

(910) 484-8100

Fax

(910) 484-8105

NPI assigned

Jun 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Divyang R Patel, M.D.

Title

Physician

Phone

(910) 484-8100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1073741674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 RAEFORD RD",
            "address_2": "SUITE A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035441",
            "telephone_number": "910-484-8100",
            "fax_number": "910-484-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 RAEFORD RD",
            "address_2": "SUITE A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035441",
            "telephone_number": "910-484-8100",
            "fax_number": "910-484-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE IMAGING ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DIVYANG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "910-484-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NC",
            "license": "02611221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heniranne Hope Mixon, MSW, LCSW-A
• Marcus Anthony Mize, PHARMD
• ML Allen Trucking LLC
• Cristina Mnerie, PT
• Yeymy Moats, FNP-BC
• Mobile Imaging, Inc
• Mobileray Inc
• Kendall Mobley, PTA
• Indira Modepalle, MD
• Lynne Ann Modzelesky, PSYD

• Mobile Radiology Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Mobile Radiology Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.