Organization Active NPI

Mobile Imaging, Inc.

  • Mobile Radiology Clinic/Center
  • Lake Charles, LA
National Provider Identifier
1700147022
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
MOBILE IMAGING, INC.
Practice address
748 Bayou Pines East Dr
Suite D
Lake Charles, LA 70601-7184
Phone
(337) 436-8113
Fax
(337) 436-8114
NPI assigned
Jun 4, 2012
Last updated
Jun 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Authorized official

Name
Mr. Max Morris Jr., RVT
Title
Owner/Ceo
Phone
(337) 436-8113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X LA Primary

Addresses

Primary practice location

748 Bayou Pines East Dr
Suite D
Lake Charles, LA 70601-7184

Mailing address

748 Bayou Pines East Dr
Suite D
Lake Charles, LA 70601-7184
Phone (337) 436-8113

National Provider Directory

National Provider Directory

Locations

748 Bayou Pines East Dr
Ste D
Lake Charles, LA 70601
Phone (337) 436-8113

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1700147022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 BAYOU PINES EAST DR",
            "address_2": "SUITE D",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017184",
            "telephone_number": "337-436-8113",
            "fax_number": "337-436-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 BAYOU PINES EAST DR",
            "address_2": "SUITE D",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017184",
            "telephone_number": "337-436-8113",
            "fax_number": "337-436-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "337-436-8113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RVT"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.