Mobile CR Imaging, LLC

Primary specialty

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

Legal business name

MOBILE CR IMAGING, LLC

Practice address

4749 Williams Dr
Georgetown, TX 78633

Phone

(844) 321-9729

Fax

(512) 233-5966

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Craig Davis II, RT(R)

Title

Owner

Phone

(844) 321-9729

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Portable X-ray supplier certification: CCN 45X0009897

Legal name

MOBILE CR IMAGING LLC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Oct 11, 2005

Last certification

Apr 26, 2021

Ownership / control type

Partnership

Facility address

4749 Williams Dr Suite 333
Georgetown, TX 78633

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Rockdale Blackhawk LLC

  • Durable Medical Equipment & Medical Supplies
  • Temple, TX
  • NPI 1679904577

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas M. Tilton, M.D.

  • Diagnostic Radiology Physician
  • Ft. Hood, TX
  • NPI 1487844296
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1104834258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786333710",
            "telephone_number": "844-321-9729",
            "fax_number": "512-233-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78633",
            "telephone_number": "844-321-9729",
            "fax_number": "512-233-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE CR IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-321-9729",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "RT(R)"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178311003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Nathan Mirken, M.S., SLP
• Dewayne Mark Mirtsching, DC
• Harriet Mitchell
• Jacqueline Mitchell
• Megan Mitchell
• Mobile Spine Specialist LLC
• Heather Moeller
• Marlene Mogavero, RDMS, RVT
• Zia Mohammad, RPH
• Arvind Chintagumpala Mohan, MD, MBA

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Georgetown, TX
• Providers in Georgetown, 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 Apr 21, 2026; 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.