Organization Active NPI

Med Mobile Digital Imaging LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Magnolia, AR
National Provider Identifier
1811403637
Registry record updated Dec 15, 2017
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
MED MOBILE DIGITAL IMAGING LLC
Practice address
124 S Jackson Ste 321
Magnolia, AR 71753-3540
Phone
(318) 347-6872
Fax
(318) 347-6872
NPI assigned
Dec 15, 2017
Last updated
Dec 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Authorized official

Name
Meagan Moton
Title
Owner
Phone
(318) 687-6861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X AR Primary

Addresses

Primary practice location

124 S Jackson Ste 321
Magnolia, AR 71753-3540

Mailing address

9376 Mansfield Rd
Shreveport, LA 71118-3181
Phone (318) 687-6861

National Provider Directory

National Provider Directory

Locations

124 S Jackson
Ste 321
Magnolia, AR 71753
Phone (318) 347-6872

9376 Mansfield Rd
Shreveport, LA 71118
Phone (318) 227-0578

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1811403637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9376 MANSFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183181",
            "telephone_number": "318-687-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S JACKSON STE 321",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533540",
            "telephone_number": "318-347-6872",
            "fax_number": "318-347-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED MOBILE DIGITAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "MOTON",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-687-6861"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.