Health Link Mobile X-Ray LLC

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

Legal business name

HEALTH LINK MOBILE X-RAY LLC

Practice address

1918 Indian Dr
Enid, OK 73703

Phone

(580) 554-9729

Fax

(866) 877-5974

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jason T. Watkins, RT(R)

Title

Manager

Phone

(580) 554-9729

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Portable X-ray supplier certification: CCN 37X0009825

Legal name

HEALTH LINK MOBILE X-RAY, L L C

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Jan 29, 2007

Last certification

Sep 20, 2017

Ownership / control type

Other Than Private

Facility address

1918 Indian Dr
Enid, OK 73703

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1861564874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6061",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737026061",
            "telephone_number": "580-554-9729",
            "fax_number": "866-877-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 INDIAN DR",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73703",
            "telephone_number": "580-554-9729",
            "fax_number": "866-877-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH LINK MOBILE X-RAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "580-554-9729",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT(R)"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiography Radiologic Technologist in Enid, OK
• Providers in Enid, OK by specialty
• Radiography Radiologic Technologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.