Organization Active NPI

Mobile Radiology Labs, Inc

  • Magnetic Resonance Imaging Radiologic Technologist
  • Rockville, MD
National Provider Identifier
1093756843
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
Legal business name
MOBILE RADIOLOGY LABS, INC
Practice address
1 Research CT
Rockville, MD 20850-6222
Phone
(301) 782-2377
Fax
(301) 782-7724
NPI assigned
Jun 10, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
James L Tarver, N/A
Title
President
Phone
(301) 782-2377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic Technologist 2471M1202X NU Primary

Addresses

Primary practice location

1 Research CT
Rockville, MD 20850-6222

Mailing address

PO Box 520
Marshall, VA 20116-0520
Phone (301) 782-2377

Other identifiers 2

IdentifierTypeStateIssuer
298514OtherVAANTHEM
434227500MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1093756843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "MARSHALL",
            "state": "VA",
            "postal_code": "201160520",
            "telephone_number": "301-782-2377",
            "fax_number": "301-782-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RESEARCH CT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506222",
            "telephone_number": "301-782-2377",
            "fax_number": "301-782-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE RADIOLOGY LABS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "TARVER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-782-2377",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "298514",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434227500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.