Elite Mobile Radiology & Ekg Service, Inc

Primary specialty

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

License

167099 Issued in NV

Legal business name

ELITE MOBILE RADIOLOGY & EKG SERVICE, INC

Doing business as

Elite Mobile X-Ray

Practice address

1250 El Monte CT
Reno, NV 89521-4117

Phone

(775) 690-9729

Fax

(775) 851-2797

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Timothy R. Troke, X-RAY TECH

Title

Director

Phone

(775) 690-9729

Specialties & licenses 1

Addresses

Other names 1

• Elite Mobile X-Ray Doing business as

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609980184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50538",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894350538",
            "telephone_number": "775-690-9729",
            "fax_number": "775-851-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 EL MONTE CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214117",
            "telephone_number": "775-690-9729",
            "fax_number": "775-851-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MOBILE RADIOLOGY & EKG SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TROKE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "775-690-9729",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "X-RAY TECH"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NV",
            "license": "167099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Mobile X-Ray",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Reno, NV
• Providers in Reno, NV by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.