Mobilemammo NW

Primary specialty

Mobile Mammography Clinic/CenterTaxonomy code 261QR0207X

Legal business name

MOBILEMAMMO NW

Practice address

1304 Fawcett Ave
Tacoma, WA 98402-1911

Phone

(253) 761-4200

NPI assigned

Feb 9, 2026

Organization subpart

No

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

Authorized official

Name

Christopher Coates

Title

Chief Executive Officer

Phone

(253) 761-4200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1538010020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 FAWCETT AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021911",
            "telephone_number": "253-761-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 FAWCETT AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021911",
            "telephone_number": "253-761-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILEMAMMO NW",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "253-761-4200"
    },
    "taxonomies": [
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Beige Mize, LPN/LVN
• Laurie Shapiro Mizrahi, MSW, LICSW
• MK Obeng PC
• Nancy Mkumbwa
• Mobile Dental Northwest, LLC
• Elizabeth Anne Mobley
• Maxwell Steven Mobley, RN
• Paul Alexander Mocha, LICSW
• Nicole Rochelle Modun
• Cliff Ching Moeckelmann

• Clinic/Center in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.