Mobile X-Ray Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MOBILE X-RAY SERVICES

Doing business as

Kosma Mobile X-Ray

Practice address

3050 N. 20TH Street
Ozark, MO 65721-5925

Phone

(417) 863-9729

Fax

(417) 863-0720

NPI assigned

Apr 23, 2015

Organization subpart

No

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

Authorized official

Name

Earl Maes, M.D,

Title

President

Phone

(417) 863-9729

Specialties & licenses 1

Addresses

Other names 1

• Kosma Mobile X-Ray Doing business as

Tax ID family

Kosma Mobile X-Ray2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mobile X-Ray Services

  dba Kosma Mobile X-Ray

  • Mobile Radiology Clinic/Center
  • Nixa, MO
  • NPI 1396079760
  NPD tax ID

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1639566011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 N. 20TH STREET",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657215925",
            "telephone_number": "417-863-9729",
            "fax_number": "417-863-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 N. 20TH STREET",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657215925",
            "telephone_number": "417-863-9729",
            "fax_number": "417-863-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE X-RAY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "MAES",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-863-9729",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kosma Mobile X-Ray",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Milan, LPC
• Ebere-CHI Miller, NP-C
• Morgan Lyn Miller, M.S. CCC-SLP
• Nathan A Miracle, PA-C
• Mobile Fit Physical Therapy LLC
• Mobile X-Ray Services LLC (Kosma Mobile X-Ray Co)
• Mobile X-Ray Services, LLC (Kosma Mobile X-Ray)
• Tegan Anne Monnig
• Montgomery Optics, LLC (Visionary Eye Center)
• Pamela J Montgomery

• Clinical Medical Laboratory in Ozark, MO
• Providers in Ozark, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.