Dr Mobile Imaging, LLC

Primary specialty

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

Legal business name

DR MOBILE IMAGING, LLC

Practice address

58 Murray Guard Dr Ste B
Jackson, TN 38305-3661

Phone

(731) 803-1078

Fax

(731) 435-3385

NPI assigned

Aug 29, 2019

Organization subpart

No

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

Authorized official

Name

Robert Scott Thornock

Title

Chief Strategy Officer

Phone

(480) 369-1270

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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

• Davin Ray Modisette

  • Radiologic Technologist
  • Jackson, TN
  • NPI 1356721245
  NPD

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1851949291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MURRAY GUARD DR STE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053661",
            "telephone_number": "731-803-1078",
            "fax_number": "731-435-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MURRAY GUARD DR STE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053661",
            "telephone_number": "731-803-1078",
            "fax_number": "731-435-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MOBILE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "THORNOCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF STRATEGY OFFICER",
        "authorized_official_telephone_number": "480-369-1270"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laquisha Douglas, MSN, APRN, PMHNP-BC
• Joshua Downey, DO
• Downtown Vision Center, P.C.
• Seth Doyle
• Dr Mark Lynn & Associates PLLC
• Dr. Andrew S. Rudin, M.D., P.C.
• Dr. Mark H Crowell PLLC
• Catherine Mary Draper, MS, RD, LDN
• Jeremy Michael Draper, MD
• Richard Key Drewery, PHD

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Jackson, TN
• Providers in Jackson, TN by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.