NPIMap

Organization Active NPI

Red River Mobile Imaging LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Durant, OK
National Provider Identifier
1467810986
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
900078 Issued in OK
Legal business name
RED RIVER MOBILE IMAGING LLC
Practice address
2807 Lorrie LN
Durant, OK 74701-1660
Phone
(580) 916-2179
NPI assigned
Jan 29, 2016
Last updated
Nov 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Rhonda Phillips, RT (R)NPI 1134661887
Title
Owner/Operator
Phone
(580) 916-2179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 900078 OK Primary

Addresses

Primary practice location

2807 Lorrie LN
Durant, OK 74701-1660

Mailing address

2807 Lorrie LN
Durant, OK 74701-1660
Phone (580) 916-2179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467810986. Details of each certification follow.

Portable X-ray supplier certification: CCN 37X0009830

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
RED RIVER MOBILE IMAGING, LLC
Certification status
Active
Provider type (POS)
Portable X-ray supplier
Participating since
Sep 21, 2017
Last certification
Sep 21, 2017
Ownership / control type
Individual
Facility address
2807 Lorrie LN
Durant, OK 74701

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1467810986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 LORRIE LN",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747011660",
            "telephone_number": "580-916-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 LORRIE LN",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747011660",
            "telephone_number": "580-916-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER MOBILE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "580-916-2179",
        "authorized_official_credential": "RT (R)"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "OK",
            "license": "900078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.