Express Mobile Diagnostic Services, LLC

Primary specialty

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

Legal business name

EXPRESS MOBILE DIAGNOSTIC SERVICES, LLC

Practice address

4536 State Route 136 Ste 1
Greensburg, PA 15601-7918

Phone

(877) 602-2847

NPI assigned

Jun 5, 2008

Organization subpart

No

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

Authorized official

Name

Jamie Bostard

Title

Owner

Phone

(877) 602-2847

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, KY, OH, OK, AR5 enrollments

Enrollment records 5

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Express Mobile Diagnostic Services, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Greensburg, PA
  • NPI 1801043922

  8921178302

  Same PAC ID

Locations

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1780843698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 STATE ROUTE 136 STE 1",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 STATE ROUTE 136 STE 1",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017918",
            "telephone_number": "877-602-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MOBILE DIAGNOSTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "BOSTARD",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-602-2847"
    },
    "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": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.