Organization Active NPI

Mobile Radiology Services, Inc.

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Jonesboro, AR
National Provider Identifier
1396745071
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
19816 Issued in AR
Legal business name
MOBILE RADIOLOGY SERVICES, INC.
Practice address
556 County Road 391
Jonesboro, AR 72401-0619
Phone
(870) 926-1120
Fax
(870) 586-5702
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Mrs. Suzanne Martin
Title
Owner
Phone
(870) 926-1120

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 19816 AR Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 260009834 MO

Addresses

Primary practice location

556 County Road 391
Jonesboro, AR 72401-0619

Mailing address

556 County Road 391
Jonesboro, AR 72401-0619
Phone (870) 926-1120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040218001015 MO Part B Supplier - Portable X-Ray Supplier 2466347398 Practice locations: Naylor, MO
O20091113000426 AR Part B Supplier - Portable X-Ray Supplier 2466347398 Practice locations: Jonesboro, AR
O20130528000523 AR Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2466347398 Practice locations: Jonesboro, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1396745071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 COUNTY ROAD 391",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724010619",
            "telephone_number": "870-926-1120",
            "fax_number": "870-586-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 COUNTY ROAD 391",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724010619",
            "telephone_number": "870-926-1120",
            "fax_number": "870-586-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE RADIOLOGY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-926-1120",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "AR",
            "license": "19816",
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "MO",
            "license": "260009834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.