Delta Mobile Radiology, LLC

Primary specialty

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

License

R41277 Issued in TX

Legal business name

DELTA MOBILE RADIOLOGY, LLC

Practice address

17617 Campana LN W
Edcouch, TX 78538-1701

Phone

(956) 262-2220

Fax

(956) 262-2221

NPI assigned

Jul 13, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Benigno Layton Jr.

Title

Managing Member

Phone

(956) 262-2220

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1831542935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17617 CAMPANA LN W",
            "city": "EDCOUCH",
            "state": "TX",
            "postal_code": "785381701",
            "telephone_number": "956-262-2220",
            "fax_number": "956-262-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17617 CAMPANA LN W",
            "city": "EDCOUCH",
            "state": "TX",
            "postal_code": "785381701",
            "telephone_number": "956-262-2220",
            "fax_number": "956-262-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA MOBILE RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "LAYTON",
        "authorized_official_first_name": "BENIGNO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "956-262-2220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "TX",
            "license": "R41277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Edcouch, TX
• Providers in Edcouch, 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 Nov 7, 2016; 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.