Mobile X Imaging

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MOBILE X IMAGING

Practice address

4900 Saint Helena Rd
Lake Wales, FL 33898-7520

Phone

(786) 339-1603

NPI assigned

Apr 4, 2024

Organization subpart

No

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

Authorized official

Name

Roberto Andrez Candelaria, RT

Title

Radiologic Technologist

Phone

(786) 339-1603

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1912759689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SAINT HELENA RD",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338987520",
            "telephone_number": "786-339-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SAINT HELENA RD",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338987520",
            "telephone_number": "786-339-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE X IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "CANDELARIA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "ANDREZ",
        "authorized_official_title_or_position": "RADIOLOGIC TECHNOLOGIST",
        "authorized_official_telephone_number": "786-339-1603",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Miller, RPH
• Elsie Pierce Miller, COTAL
• Mary Miller
• Richard S Miller, OD
• Mobile Tech Imaging LLC
• Monica L. Vickers Associates
• Mary Elizabeth Monticello Powell, APRN
• Shameka Moore
• Matt Moraes, AA
• Morales & Humeres Consultancy LLC

• Diagnostic Radiology Physician in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.