Active NPI
Local Portable Imaging LLC
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Hemphill, TX
National Provider Identifier
1689953978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- License
- R35279
- Legal business name
- LOCAL PORTABLE IMAGING LLC
- Practice address
- 405 Mountain Meadow Cir
Hemphill, TX 75948-3643 - Phone
- (409) 625-1574
- Fax
- (409) 625-0985
- NPI assigned
- Aug 4, 2011
- Last updated
- Aug 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike Gibbs
- Title
- Owner
- Phone
- (409) 625-1574
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | R35279 | TX | Primary |
Addresses
Primary practice location
405 Mountain Meadow Cir
Hemphill, TX 75948-3643
Mailing address
405 Mountain Meadow Cir
Hemphill, TX 75948-3643
Phone (409) 625-1574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1689953978. Details of each certification follow.
Portable X-ray supplier certification: CCN 45X0009920
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- LOCAL PORTABLE IMAGING,LLC
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Sep 12, 2012
- Last certification
- Feb 26, 2018
- Ownership / control type
- Partnership
- Facility address
- 405 Mountain Meadow Circle
Hemphill, TX 75948
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312416000000",
"number": "1689953978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 MOUNTAIN MEADOW CIR",
"city": "HEMPHILL",
"state": "TX",
"postal_code": "759483643",
"telephone_number": "409-625-1574",
"fax_number": "405-625-0985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 MOUNTAIN MEADOW CIR",
"city": "HEMPHILL",
"state": "TX",
"postal_code": "759483643",
"telephone_number": "409-625-1574",
"fax_number": "409-625-0985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOCAL PORTABLE IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-04",
"last_updated": "2011-08-04",
"status": "A",
"authorized_official_last_name": "GIBBS",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "409-625-1574"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "TX",
"license": "R35279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hemphill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.