NPIMap

Organization Active NPI

Express Mobile Diagnostic Services, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Greensburg, PA
National Provider Identifier
1801043922
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
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
Fax
(877) 270-7474
NPI assigned
Aug 20, 2008
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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) 270-7474

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary
Sonography Specialist/Technologist Cardiovascular 246XS1301X
Sonography Radiologic Technologist 2471S1302X
Vascular Sonography Radiologic Technologist 2471V0105X

Addresses

Primary practice location

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

Mailing address

4536 State Route 136 Ste 1
Greensburg, PA 15601-7918
Phone (877) 602-2847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, KY, AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20080529000061 PA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8921178302 Practice locations: Greensburg, PA
O20081013000241 KY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8921178302 Practice locations: Louisville, KY
O20190409000133 AR Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8921178302 Practice locations: Fort Smith, AR

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Locations

19 N 5th St
Ste 107
Fort Smith, AR 72901
Phone (877) 602-2847

400 Rogers Ave
Ste 34
Fort Smith, AR 72901
Phone (877) 602-2847

10979 Reed Hartman Hwy
#139A
Blue Ash, OH 45242
Phone (877) 602-2847

4536 State Route 136
Greensburg, PA 15601

4536 State Route 136
Ste 1
Greensburg, PA 15601
Phone (877) 602-2847

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1801043922",
    "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",
            "telephone_number": "877-602-2847",
            "fax_number": "877-270-7474"
        },
        {
            "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",
            "fax_number": "877-270-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MOBILE DIAGNOSTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "BOSTARD",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-270-7474"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.