Organization Active NPI

Bakorp LLC

Doing business as Pacific Mobile Diagnostics

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Denver, CO
National Provider Identifier
1225217532
Registry record updated Apr 1, 2025
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
BAKORP LLC
Doing business as
Pacific Mobile Diagnostics
Practice address
7230 Gilpin Way Ste 200
Denver, CO 80229
Phone
(801) 499-9284
Fax
(480) 829-3883
NPI assigned
Nov 2, 2007
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Tangina Maloof
Title
Treasurer
Phone
(469) 636-5055

Specialties & licenses 1

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

Addresses

Primary practice location

7230 Gilpin Way Ste 200
Denver, CO 80229

Mailing address

1600 W Broadway Rd Ste 155
Tempe, AZ 85282-1138
Phone (480) 528-3322

Other identifiers 1

IdentifierTypeStateIssuer
98932381MedicaidCO

Other names 1

  • Pacific Mobile Diagnostics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070419000132 CO Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6608896824 1 other NPI on this enrollment
Practice locations: Denver, CO

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Bakorp LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 9

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1225217532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W BROADWAY RD STE 155",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821138",
            "telephone_number": "480-528-3322",
            "fax_number": "480-829-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 GILPIN WAY STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80229",
            "telephone_number": "801-499-9284",
            "fax_number": "480-829-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKORP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "MALOOF",
        "authorized_official_first_name": "TANGINA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "469-636-5055"
    },
    "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": "98932381",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Mobile Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Mobile Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.