Mobilab Diagnostics, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

MOBILAB DIAGNOSTICS, LLC

Practice address

5904 S Cooper St
Suite 104-184
Arlington, TX 76017-4494

Phone

(469) 831-7111

Fax

(888) 557-1952

NPI assigned

May 14, 2012

Organization subpart

No

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

Authorized official

Name

Darryl Evans

Title

General Manager

Phone

(469) 831-7111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1336408152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 S COOPER ST",
            "address_2": "SUITE 104-184",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760174494",
            "telephone_number": "469-831-7111",
            "fax_number": "888-557-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 S COOPER ST",
            "address_2": "SUITE 104-184",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760174494",
            "telephone_number": "469-831-7111",
            "fax_number": "888-557-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILAB DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "469-831-7111"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Arlington, TX by specialty
• Mobile Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.