Mobile Dysphagia Imaging, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

RTL6981 Issued in AR

Legal business name

MOBILE DYSPHAGIA IMAGING, LLC

Practice address

806 Crestwood St
Springdale, AR 72762-5119

Phone

(479) 253-4430

NPI assigned

Jun 19, 2015

Organization subpart

No

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

Authorized official

Name

Timothy Eric Payne, RT(R)

Title

Member

Phone

(479) 253-4430

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1710369228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 CRESTWOOD ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625119",
            "telephone_number": "479-253-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 CRESTWOOD ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625119",
            "telephone_number": "479-253-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DYSPHAGIA IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "479-253-4430",
        "authorized_official_credential": "RT(R)"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "AR",
            "license": "RTL6981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelson Mishler
• Mission First Medical Transport
• Alisa Danae Mitchell, LPC
• Ava Rose Mitchell
• Abby Mix, LCSW
• Seth Mobley, DO
• Addison Nicole Moeller
• Gary L. Moffitt, M.D.
• Allie Moist, QBHP
• Arylynn Melissa Molina

• Mobile Radiology Clinic/Center in Springdale, AR
• Providers in Springdale, AR by specialty
• Mobile Radiology Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.