NPIMap

Organization Active NPI

Mobile X-Rays on Demand Limited Liability Company

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • McAllen, TX
National Provider Identifier
1417265174
Registry record updated Aug 11, 2022
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
MOBILE X-RAYS ON DEMAND LIMITED LIABILITY COMPANY
Practice address
3300 Buddy Owens Blvd
McAllen, TX 78504-5270
Phone
(956) 972-0400
Fax
(956) 972-0402
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Dagoberto Barrera
Title
Manager
Phone
(956) 972-0400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X R34526 TX
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X TX Primary

Addresses

Primary practice location

3300 Buddy Owens Blvd
McAllen, TX 78504-5270

Mailing address

3300 Buddy Owens Blvd
McAllen, TX 78504-5270
Phone (956) 972-0400

Other identifiers 3

IdentifierTypeStateIssuer
3088999MedicaidTX
R34526OtherTXXRAY REGISTRATION
R34526OtherTXX-RAYS REGISTRATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120523000532 TX Part B Supplier - Portable X-Ray Supplier 2466615703 Practice locations: McAllen, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mobile X-Rays on Demand Limited Liability Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3300 Buddy Owens Ave
McAllen, TX 78504
Phone (956) 972-0400

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1417265174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 BUDDY OWENS BLVD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045270",
            "telephone_number": "956-972-0400",
            "fax_number": "956-972-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BUDDY OWENS BLVD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045270",
            "telephone_number": "956-972-0400",
            "fax_number": "956-972-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE X-RAYS ON DEMAND LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "DAGOBERTO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "956-972-0400"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "TX",
            "license": "R34526",
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3088999",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "XRAY REGISTRATION",
            "identifier": "R34526",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "X-RAYS REGISTRATION",
            "identifier": "R34526",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.