NPIMap

Organization Active NPI

Life Mobile Imaging, Inc

Doing business as Life Mobile Imaging

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • East Hanover, NJ
National Provider Identifier
1508677519
Registry record updated Jul 15, 2026
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
LIFE MOBILE IMAGING, INC
Doing business as
Life Mobile Imaging
Practice address
120 Eagle Rock Ave Ste 200
East Hanover, NJ 07936-3159
Phone
(973) 607-4911
Fax
(973) 607-4911
NPI assigned
Jan 17, 2025
Last updated
Jul 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Minette Pantlitz
Title
Director of Revenue Cycle
Phone
(973) 607-4911

Specialties & licenses 1

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

Addresses

Primary practice location

120 Eagle Rock Ave Ste 200
East Hanover, NJ 07936-3159

Mailing address

120 Eagle Rock Ave Ste 200
East Hanover, NJ 07936-3159
Phone (973) 607-4911

Other practice location 1

70 S Orange Ave Ste 235
Livingston, NJ 07039-4915
Phone (973) 607-4911

Other names 1

  • Life Mobile Imaging Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250425000315 NJ Part B Supplier - Clinic/Group Practice 5799208054 Receives reassigned benefits from 1 practitioner
Practice locations: Livingston, NJ
O20250721003395 NJ Part B Supplier - Portable X-Ray Supplier 5799208054 Practice locations: Livingston, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508677519. Details of each certification follow.

Portable X-ray supplier certification: CCN 31X0009849

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
LIFE MOBILE IMAGING, INC
Certification status
Active
Provider type (POS)
Portable X-ray supplier
Participating since
Dec 2, 2025
Last certification
Dec 2, 2025
Facility address
70 S Orange Ave, Ste 235
Livingston, NJ 07039

National Provider Directory

National Provider Directory

Locations

120 Eagle Rock Ave
Ste 200
East Hanover, NJ 07936

70 S Orange Ave
Ste 140
Livingston, NJ 07039
Phone (973) 650-0542

70 S Orange Ave
Ste 235
Livingston, NJ 07039
Phone (973) 607-4911

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1508677519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EAGLE ROCK AVE STE 200",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363159",
            "telephone_number": "973-607-4911",
            "fax_number": "973-607-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAGLE ROCK AVE STE 200",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363159",
            "telephone_number": "973-607-4911",
            "fax_number": "973-607-4911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 S Orange Ave Ste 235",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070394915",
            "country_code": "US",
            "telephone_number": "973-607-4911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE MOBILE IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "PANTLITZ",
        "authorized_official_first_name": "MINETTE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "973-607-4911"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Mobile Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Hanover, NJ

Sources for this page

Verify at the official NPI Registry.