Active NPI
At Home Mobile X-Rays LLC
- Mobile Radiology Clinic/Center
- Mercedes, TX
National Provider Identifier
1245832476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- AT HOME MOBILE X-RAYS LLC
- Practice address
- 717 W 2ND St
Mercedes, TX 78570-2605 - Phone
- (956) 332-9198
- NPI assigned
- Nov 12, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danny Longoria
- Title
- Ceo
- Phone
- (956) 332-9198
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | Primary | ||
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X |
Addresses
Primary practice location
717 W 2ND St
Mercedes, TX 78570-2605
Mailing address
717 W 2ND St
Mercedes, TX 78570-2605
Phone (956) 332-9198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210604000335 | TX | Part B Supplier - Portable X-Ray Supplier | 9830598259 | Practice locations: Mercedes, TX |
Portable X-ray supplier certification: CCN 45X0009940
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- AT HOME MOBILE X-RAYS LLC
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Nov 4, 2024
- Last certification
- Sep 9, 2024
- Ownership / control type
- Individual
- Facility address
- 717 W 2ND St
Mercedes, TX 78570
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744156800000",
"number": "1245832476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 W 2ND ST",
"city": "MERCEDES",
"state": "TX",
"postal_code": "785702605",
"telephone_number": "956-332-9198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 W 2ND ST",
"city": "MERCEDES",
"state": "TX",
"postal_code": "785702605",
"telephone_number": "956-332-9198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT HOME MOBILE X-RAYS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-12",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A",
"authorized_official_last_name": "LONGORIA",
"authorized_official_first_name": "DANNY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "956-332-9198"
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": true
},
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mercedes, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.