Mobile Imaging LTD.

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

MOBILE IMAGING LTD.

Practice address

7 Herbert Drive
Latham, NY 12110-3801

Phone

(518) 785-3511

Fax

(518) 783-1090

NPI assigned

Sep 2, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth C Andrews

Title

Vice President

Phone

(315) 437-1622

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Portable X-ray supplier certification: CCN 33X0009841

Legal name

MOBILE IMAGING LTD

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Aug 23, 1985

Last certification

Mar 27, 2018

Ownership / control type

Corporation

Facility address

7 Herbert Drive
Latham, NY 12110

Other NPIs with the same Medicare PAC ID 1

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

• Mobile Imaging LTD.

  • Physiological Laboratory
  • Latham, NY
  • NPI 1023002367

  5092760405

  Same PAC ID

Locations

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1609860824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 COLLAMER ROAD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571032",
            "telephone_number": "315-437-1622",
            "fax_number": "315-437-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HERBERT DRIVE",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121103801",
            "telephone_number": "518-785-3511",
            "fax_number": "518-783-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE IMAGING LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "315-437-1622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01867427",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01738554",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindwell Psychological Assessment, LLP
• Eric Louis Mishkin, MD
• Emily Mitchell
• Richelle Beverly Mitchell, M.S. SLP
• Mobile Imaging LTD.
• Racquel Marie Mochrie, FNP-BC
• Loren Moffitt
• Susan Lynn Mollard, NP
• Desiree Joyce Mollnow, FNP-BC
• Monroe Wheelchair Inc

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Latham, NY
• Providers in Latham, NY by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.