Organization Active NPI

Mobile Medical Imaging, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Beltsville, MD
National Provider Identifier
1174577969
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
MOBILE MEDICAL IMAGING, LLC
Practice address
5010 Sunnyside Ave Ste 305
Beltsville, MD 20705-2320
Phone
(301) 680-1900
Fax
(301) 680-0920
NPI assigned
May 19, 2006
Last updated
Mar 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Mr. Desmond C Brown, RT
Title
Ceo
Phone
(301) 680-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

5010 Sunnyside Ave Ste 305
Beltsville, MD 20705-2320

Mailing address

5010 Sunnyside Ave Ste 305
Beltsville, MD 20705-2320
Phone (301) 680-1900

Other identifiers 3

IdentifierTypeStateIssuer
004991249MedicaidVA
025431800MedicaidDC
4234804 00MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100503000761 VA Part B Supplier - Portable X-Ray Supplier 3375688013 Practice locations: Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

3330 Bourbon St
Ste 122
Fredericksburg, VA 22408
Phone (301) 680-1900

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1174577969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 SUNNYSIDE AVE STE 305",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052320",
            "telephone_number": "301-680-1900",
            "fax_number": "301-680-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 SUNNYSIDE AVE STE 305",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052320",
            "telephone_number": "301-680-1900",
            "fax_number": "301-680-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-680-1900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT"
    },
    "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": "004991249",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025431800",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4234804 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.