E.T. Mobile Imaging, Inc.

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

R22095 Issued in TX

Legal business name

E.T. MOBILE IMAGING, INC.

Practice address

472 Farm Road 2297
Sulphur Springs, TX 75482-4719

Phone

(903) 885-3200

Fax

(903) 439-0462

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Roy Wayne McGahee

Title

President/Owner

Phone

(903) 885-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1386726438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 FARM ROAD 2297",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824719",
            "telephone_number": "903-885-3200",
            "fax_number": "903-439-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 FARM ROAD 2297",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824719",
            "telephone_number": "903-885-3200",
            "fax_number": "903-439-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.T. MOBILE IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "MCGAHEE",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "903-885-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "TX",
            "license": "R22095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086112201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darrell Wayne Donald
• Joni Doty, M.S. CCC-SLP
• James Darryl Doughtie, MD
• Christian Douthit, M.D.
• Cara Jan Duncan, COTA
• East Texas Physical Therapy
• Grayce Arah Ebai, PHARM.D.
• Vivian Sami Ebrahim, M.D.
• Edge Medical Supply, LLC
• Michael Cody Elliott, LPC

• Radiologic Technologist in Sulphur Springs, TX
• Providers in Sulphur Springs, TX by specialty
• Radiologic Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.