Rad X Mobile Imaging LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

RAD X MOBILE IMAGING LLC

Doing business as

Rad X Mobile Imaging LLC

Practice address

7409 Raleigh Ave
Lubbock, TX 79424-2303

Phone

(806) 603-3434

Fax

(844) 723-9729

NPI assigned

Sep 5, 2019

Last updated

Aug 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Anissa Dusenberry, R.R.T.NPI 1013484286

Title

Owner/Radilogic Technologist

Phone

(806) 603-3434

Specialties & licenses 1

Addresses

Other names 1

• Rad X Mobile Imaging LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720637325. Details of each certification follow.

• CCN 45X0009932 Portable X-ray supplier · Active · Name & address match · Details

Portable X-ray supplier certification: CCN 45X0009932

Legal name

RAD X MOBILE IMAGING LLC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Sep 20, 2022

Last certification

Sep 20, 2022

Ownership / control type

Other Than Private

Facility address

7409 Raleigh Ave
Lubbock, TX 79424

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.

• Anissa Dusenberry, R.R.T.

  • Radiography Radiologic Technologist
  • Lubbock, TX
  • NPI 1013484286
  NPD Authorized official

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1720637325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6923 INDIANA AVE",
            "address_2": "PMB 258",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794136111",
            "telephone_number": "806-603-3434",
            "fax_number": "844-723-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 RALEIGH AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242303",
            "telephone_number": "806-603-3434",
            "fax_number": "844-723-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAD X MOBILE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "DUSENBERRY",
        "authorized_official_first_name": "ANISSA",
        "authorized_official_title_or_position": "OWNER/RADILOGIC TECHNOLOGIST",
        "authorized_official_telephone_number": "806-603-3434",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.R.T."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rad X Mobile Imaging LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rad X Mobile Imaging LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ashlyn Rabel, ACNP
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• Grace Purcell Raedeke, MD
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• Ross Michael Raedeke, MD

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.

Verify at the official NPI Registry.