Organization Active NPI

National Mobile X-Ray

Doing business as MMDS of North Carolina

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Morrisville, NC
National Provider Identifier
1245225028
Registry record updated Feb 26, 2019
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
NATIONAL MOBILE X-RAY
Doing business as
MMDS of North Carolina
Practice address
251 Dominion Drive Suite 112
Morrisville, NC 27560
Phone
(980) 202-5227
NPI assigned
Sep 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Authorized official

Name
Bridget Dunbar
Title
Coo
Phone
(512) 673-7552

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471C3402X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

251 Dominion Drive Suite 112
Morrisville, NC 27560

Mailing address

2121 Lohman's Crossing
Ste 504 PMB 454
Lakeway, TX 78734-5217
Phone (980) 202-5227

Other practice location 1

2121 Lohman's Crossing PMB 454
Lakeway, TX 78734-5217
Phone (980) 202-5227

Other identifiers 2

IdentifierTypeStateIssuer
P00077237OtherNCMEDICARE RAILROAD
3409800MedicaidNC

Other names 1

  • MMDS of North Carolina Doing business as

National Provider Directory

National Provider Directory
Tax ID family
National Mobile X-Ray4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

251 Dominion Dr
Ste 112
Morrisville, NC 27560
Phone (615) 302-7930

3209 Gresham Lake Rd
Ste 157
Raleigh, NC 27615
Phone (919) 713-0030

2025 Ebenezer Rd
#J2
Rock Hill, SC 29732
Phone (615) 302-7930

851 French Moore Jr Blvd
Ste 137
Abingdon, VA 24210
Phone (423) 230-8093

851 French Moore Jr Blvd
#1
Abingdon, VA 24210
Phone (828) 277-6664

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1245225028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 LOHMAN'S CROSSING",
            "address_2": "STE 504 PMB 454",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345217",
            "telephone_number": "980-202-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 DOMINION DRIVE SUITE 112",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "27560",
            "telephone_number": "980-202-5227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 Lohman's Crossing PMB 454",
            "address_purpose": "LOCATION",
            "city": "Lakeway",
            "state": "TX",
            "postal_code": "787345217",
            "country_code": "US",
            "telephone_number": "980-202-5227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATIONAL MOBILE X-RAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "DUNBAR",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "512-673-7552"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00077237",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409800",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMDS of North Carolina",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MMDS of North Carolina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.