National Mobile X-Ray LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

NATIONAL MOBILE X-RAY LLC

Practice address

6580 Valley Center Dr #302
Radford, VA 24141

Phone

(980) 202-5227

NPI assigned

Apr 5, 2006

Organization subpart

No

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 1

Addresses

Other identifiers 1

Other names 1

• MMDS of North Carolina Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Portable X-ray supplier certification: CCN 49X0009830

Legal name

NATIONAL MOBILE X-RAY

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Oct 1, 2019

Last certification

Mar 15, 2023

Ownership / control type

Corporation

Facility address

6580 Valley Center Drive Suite 326
Radford, VA 24141

Tax ID family

National Mobile X-Ray LLC4 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.

• National Mobile X-Ray

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Morrisville, NC
  • NPI 1245225028
  NPD tax ID
• National Mobile X-Ray LLC

  • Physiological Laboratory
  • Morrisville, NC
  • NPI 1306323845
  NPD tax ID
• National Mobile X-Ray LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Asheville, NC
  • NPI 1346726411
  NPD tax ID

Locations

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1396707345",
    "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": "6580 VALLEY CENTER DR #302",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "24141",
            "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 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "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": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336299338",
            "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"
        }
    ]
}

• Lyndsay M Mitchell, LPTA
• Florence H Mogen, M.D.
• Chrishaun Morgan
• Ryan Munton, DMD
• Myoptics Inc
• Neil P Dubner
• Jennifer Nelson, MD
• Carter Neumann
• New River Community Action
• New River Mediccal Massage

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Radford, VA
• Providers in Radford, VA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Virginia

• 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.
• 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.

Verify at the official NPI Registry.