North Star Mobile X-Ray LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

NORTH STAR MOBILE X-RAY LLC

Practice address

6300 Shingle Creek Pkwy Ste 135
Minneapolis, MN 55430-2124

Phone

(800) 749-9729

Fax

(877) 686-1540

NPI assigned

Apr 4, 2019

Organization subpart

No

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

Authorized official

Name

Mark Tauber

Title

Ceo

Phone

(516) 517-4823

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• North Star Mobile X-Ray LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Minneapolis, MN
  • NPI 1215499553

  4981931474

  Same PAC ID

Tax ID family

North Star Mobile X-Ray LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Star Mobile X-Ray LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Minneapolis, MN
  • NPI 1215499553
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony M Johnson, M.D.

  • Diagnostic Radiology Physician
  • Solon, OH
  • NPI 1730132119
  NPD (past)

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1922560267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SPENCER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051891",
            "telephone_number": "516-517-4716",
            "fax_number": "877-686-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 SHINGLE CREEK PKWY STE 135",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554302124",
            "telephone_number": "800-749-9729",
            "fax_number": "877-686-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR MOBILE X-RAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "TAUBER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-517-4823"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Star Health Group, P.C.
• North Star Interpretation Services LLC (North Star Interpretation Services)
• North Star Meals on Wheels
• North Star Medical Equipment and Supplies, LLC
• North Star Mobile X-Ray LLC
• North Star Surgical Services, LLC
• Abigail Rose North
• Northeast Art Therapy LLC
• Northeast Chiropractic PLLC (Lyn Lake Chiropractic Northeast)
• Northeast Clinic PLLC

• Mobile Radiology Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mobile Radiology Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.