Organization Active NPI

Mobile Medical Services, LLP

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Lubbock, TX
National Provider Identifier
1922189083
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
MOBILE MEDICAL SERVICES, LLP
Practice address
3602 24TH Street
Lubbock, TX 79410
Phone
(806) 281-0499
Fax
(806) 281-0360
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Nisha J Wilkins
Title
Manager
Phone
(806) 319-7981

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 247100000X TX
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

3602 24TH Street
Lubbock, TX 79410

Mailing address

5109 82ND St
Unit 7, PMB 244
Lubbock, TX 79424-3000
Phone (806) 319-7981

Other identifiers 2

IdentifierTypeStateIssuer
086104902MedicaidTX
459865OtherTXBC/BS PROVIDER ID

National Provider Directory

National Provider Directory

Locations

3705 22nd St
Lubbock, TX 79410
Phone (806) 281-0499

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922189083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 82ND ST",
            "address_2": "UNIT 7, PMB 244",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243000",
            "telephone_number": "806-319-7981",
            "fax_number": "806-281-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 24TH STREET",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79410",
            "telephone_number": "806-281-0499",
            "fax_number": "806-281-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL SERVICES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "NISHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "806-319-7981",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086104902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER ID",
            "identifier": "459865",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • 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.