Mobile X-Ray Imaging Inc.

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

Legal business name

MOBILE X-RAY IMAGING INC.

Practice address

945 East Park Dr
Suite 102
Harrisburg, PA 17111

Phone

(717) 561-4940

Fax

(717) 561-4467

NPI assigned

Jul 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Todd Gelbaugh

Title

President

Phone

(717) 561-4940

Specialties & licenses 3

Addresses

Other identifiers 7

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871593541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 EAST PARK DR",
            "address_2": "SUITE 102",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17111",
            "telephone_number": "717-561-4940",
            "fax_number": "717-561-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 EAST PARK DR",
            "address_2": "SUITE 102",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17111",
            "telephone_number": "717-561-4940",
            "fax_number": "717-561-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE X-RAY IMAGING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GELBAUGH",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-561-4940",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS PROVIDER ID",
            "identifier": "604810100",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015231320004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED-PLUS NON-PAR ID",
            "identifier": "130594",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL",
            "identifier": "50002712",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG ID",
            "identifier": "027624300",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00093629",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "310243",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crissy Tamiko Miyake, PSY.D.
• Marylena Rose Mizerak, MD
• Doug Mizic, NNP-BC
• Mma Community Health LLP
• Mobile X-Ray Imaging Inc
• Rupen G Modi, DO, MBA, FACEP
• Catherine M Moffa, CRNP
• Thomas L. Moffett, DDS
• William L Moffett, D.M.D.
• Bernadine Moglia, M.D.

• Radiologic Technologist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Radiologic Technologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.