MJM Diagnostics LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

MJM DIAGNOSTICS LLC

Doing business as

New Frontier Mobile Diagnostics

Practice address

1301 Oak St Ste 713
Kansas City, MO 64106-2913

Phone

(833) 763-6363

NPI assigned

Nov 8, 2019

Organization subpart

No

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

Authorized official

Name

Jeff Blackwood

Title

Chief Executive Officer

Phone

(913) 787-1555

Specialties & licenses 1

Addresses

Other names 1

• New Frontier Mobile Diagnostics Doing business as

Locations

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1952946378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 OAK ST STE 713",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641062913",
            "telephone_number": "833-763-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 OAK ST STE 713",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641062913",
            "telephone_number": "833-763-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "942 W 32nd Ter",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641113604",
            "country_code": "US",
            "telephone_number": "913-787-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MJM DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "BLACKWOOD",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "913-787-1555"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Frontier Mobile Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Ryan Mitchem
• Naim Gustavo del Carmen Mitre Calderon, MD
• Jordon Mitzelfelt
• James McKinnon Mixson, DMD
• Laura Mizell, LMSW
• Kelly Moberly, OTR
• Mobile Ultrasound LLC (Mobile Ultrasound of Kansas City)
• Mobility Designed Inc
• James Robert Mobley, DDS
• Jason A Moburg, DNP, FNP- BC, APRN

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.