NPIMap

Organization Active NPI

Mobile Xray Diagnostics LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Lakeville, MA
National Provider Identifier
1245843556
Registry record updated Aug 26, 2020
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 XRAY DIAGNOSTICS LLC
Practice address
350 Bedford St Ste 5a
Lakeville, MA 02347-2128
Phone
(774) 213-9729
Fax
(508) 813-3137
NPI assigned
Aug 26, 2020
Last updated
Aug 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Patricia L TortorellaNPI 1427615475
Title
President/Owner
Phone
(774) 213-9729

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

350 Bedford St Ste 5a
Lakeville, MA 02347-2128

Mailing address

350 Bedford St Ste 5a
Lakeville, MA 02347-2128
Phone (774) 213-9729

Other practice location 1

141 Fairgrounds Rd
West Kingston, RI 02892-1512
Phone (774) 213-9729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200914000824 MA Part B Supplier - Portable X-Ray Supplier 3971830316 Practice locations: Mansfield, MA
O20210315000580 MA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3971830316 Practice locations: Mansfield, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245843556. Details of each certification follow.

Portable X-ray supplier certification: CCN 22X0009832

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
MOBILE XRAY DIAGNOSTICS LLC
Certification status
Active
Provider type (POS)
Portable X-ray supplier
Participating since
Aug 25, 2021
Last certification
Aug 25, 2021
Ownership / control type
Corporation
Facility address
350 Bedford Street, Suite 5a
Lakeville, MA 02347

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Member of 1

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

Locations

350 Bedford St
Ste 5A
Lakeville, MA 02347
Phone (774) 213-9729

28 Linwood Rd
Lynn, MA 01905
Phone (781) 592-8000

171 Forbes Blvd
Ste 2000
Mansfield, MA 02048
Phone (508) 281-4888

221 Fitzgerald Dr
New Bedford, MA 02745
Phone (508) 961-0153

397 County St
New Bedford, MA 02740
Phone (508) 997-0791

141 Fairgrounds Rd
West Kingston, RI 02892
Phone (401) 294-3587

Practitioners & affiliated clinicians

Practitioners 11

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": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1245843556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BEDFORD ST STE 5A",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023472128",
            "telephone_number": "774-213-9729",
            "fax_number": "508-813-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BEDFORD ST STE 5A",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023472128",
            "telephone_number": "774-213-9729",
            "fax_number": "508-813-3137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Fairgrounds Rd",
            "address_purpose": "LOCATION",
            "city": "West Kingston",
            "state": "RI",
            "postal_code": "028921512",
            "country_code": "US",
            "telephone_number": "774-213-9729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOBILE XRAY DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "TORTORELLA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "774-213-9729"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MA

Sources for this page

Verify at the official NPI Registry.