NPIMap

Organization Active NPI

Mobile Radiology Associates

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Bucyrus, OH
National Provider Identifier
1811981343
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
1079397 Issued in OH
Legal business name
MOBILE RADIOLOGY ASSOCIATES
Doing business as
Mobile Radiology
Practice address
124 S Sandusky Ave
Bucyrus, OH 44820-2219
Phone
(419) 562-8777
Fax
(419) 562-0921
NPI assigned
Sep 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
John H WanamakerNPI 1518951706
Title
President
Phone
(419) 562-8777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 1079397 OH Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 06-L-10811-01 OH

Addresses

Primary practice location

124 S Sandusky Ave
Bucyrus, OH 44820-2219

Mailing address

124 S Sandusky Ave
Bucyrus, OH 44820-2219
Phone (419) 562-8777

Other identifiers 2

IdentifierTypeStateIssuer
0941717MedicaidOH
000000226826OtherOHANTHEM BLUE CROSS

Other names 1

  • Mobile Radiology Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1811981343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S SANDUSKY AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202219",
            "telephone_number": "419-562-8777",
            "fax_number": "419-562-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S SANDUSKY AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202219",
            "telephone_number": "419-562-8777",
            "fax_number": "419-562-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE RADIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "WANAMAKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-562-8777"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "OH",
            "license": "1079397",
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "OH",
            "license": "06-L-10811-01",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0941717",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000226826",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bucyrus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.