Mobile Xray Service LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MOBILE XRAY SERVICE LLC

Practice address

10 Nob Hill Dr
Saint Louis, MO 63138-1458

Phone

(314) 584-9330

NPI assigned

Mar 21, 2022

Organization subpart

No

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

Authorized official

Name

Lamare J Butler, ARRT (R) (CT)(R)

Title

Radiogapher

Phone

(314) 584-9330

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1619626249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NOB HILL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381458",
            "telephone_number": "314-584-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NOB HILL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381458",
            "telephone_number": "314-584-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE XRAY SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "LAMARE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "RADIOGAPHER",
        "authorized_official_telephone_number": "314-584-9330",
        "authorized_official_credential": "ARRT (R) (CT)(R)"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Moaddabi-Araghi, MD
• Mobile Diagnostics LLC
• Mobile Medicine Inc
• Mobile Response Diagnostics LLC
• Mobile Ultrasound LLC
• Moc Acquisition Corporation
• Lonnie Polkow Moch, FNP
• Gary Craig Mockli
• Karen Modde
• Tracy Model

• All providers in Saint Louis, MO
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.