Active NPI
Mobile Medical Services, LLP
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Lubbock, TX
National Provider Identifier
1922189083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 086104902 | Medicaid | TX | |
| 459865 | Other | TX | BC/BS PROVIDER ID |
National Provider Directory
National Provider DirectoryLocations
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.