Organization Active NPI

Medmobile Imaging , LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Dallas, TX
National Provider Identifier
1407163843
Registry record updated Sep 7, 2010
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
MEDMOBILE IMAGING , LLC
Practice address
1350 N Buckner Blvd Ste 212
Dallas, TX 75218-3575
Phone
(469) 877-9417
Fax
(972) 303-1620
NPI assigned
Sep 7, 2010
Last updated
Sep 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Mr. Mathew John, RT
Title
Cfo
Phone
(469) 877-9417

Specialties & licenses 1

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

Addresses

Primary practice location

1350 N Buckner Blvd Ste 212
Dallas, TX 75218-3575

Mailing address

4201 Stone Haven Dr
Garland, TX 75043-7289
Phone (469) 877-9417

National Provider Directory

National Provider Directory

Locations

1350 N Buckner Blvd
Ste 212
Dallas, TX 75218
Phone (469) 877-9417

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1407163843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 STONE HAVEN DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750437289",
            "telephone_number": "469-877-9417",
            "fax_number": "972-303-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 N BUCKNER BLVD STE 212",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183575",
            "telephone_number": "469-877-9417",
            "fax_number": "972-303-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDMOBILE IMAGING , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "469-877-9417",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.