Star Mobile Imaging

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

15327 Issued in TX

Legal business name

STAR MOBILE IMAGING

Practice address

310 San Mateo CT
Irving, TX 75062-4509

Phone

(228) 209-3371

NPI assigned

Jan 13, 2015

Last updated

Mar 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandon Holbert, RVTNPI 1275922445

Title

President

Phone

(214) 680-5970

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Brandon Holbert, RVT

  • Sonography Radiologic Technologist
  • Irving, TX
  • NPI 1275922445
  NPD (past) Authorized official
• Dale J Bradley, D.O.

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1588607428
  NPD (past)

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1831588953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SAN MATEO CT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624509",
            "telephone_number": "214-680-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SAN MATEO CT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624509",
            "telephone_number": "228-209-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MOBILE IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "HOLBERT",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-680-5970",
        "authorized_official_credential": "RVT"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "TX",
            "license": "15327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SONOGRAPHER LICENSE",
            "identifier": "153257",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eva Dean Stambaugh, R.N.
• Kaitlynn Stanton, OTD, OTR
• Reyna Stanton, DPT
• Star Care Family & Preventive Medicine
• Star Convenientcare, PA
• Adrianna Paige Stark
• Audrey Anne Starnes
• Hayden Waugh Statham, RN
• Ashley Stclair, MS, NTP
• Catherine Norman Stead, FNP-BC

• Sonography Radiologic Technologist in Irving, TX
• Providers in Irving, TX by specialty
• Sonography Radiologic Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.