Mobile X-Ray Services of Shreveport Bossier Inc

Primary specialty

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

Legal business name

MOBILE X-RAY SERVICES OF SHREVEPORT BOSSIER INC

Practice address

670 Albemarle Dr Ste 202
Shreveport, LA 71106-5946

Phone

(318) 687-6861

Fax

(318) 687-6768

NPI assigned

Jan 13, 2007

Organization subpart

No

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

Authorized official

Name

Meagan Moton

Title

President

Phone

(318) 687-6861

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 5

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

• Roger Austin Dillard, M.D.

  • Diagnostic Radiology Physician
  • Memphis, TN
  • NPI 1629418033
  NPD (past)
• Vincent Anthony Lombardi, M.D.

  • Diagnostic Radiology Physician
  • Carmel, IN
  • NPI 1639148406
  NPD (past)
• Harold Trief, MD

  • Diagnostic Radiology Physician
  • Tucson, AZ
  • NPI 1912974304
  NPD (past)
• Lloyd David Wagner, M.D.

  • Diagnostic Radiology Physician
  • Camden, NJ
  • NPI 1124161872
  NPD (past)
• Justin F Weiss, MD

  • Diagnostic Radiology Physician
  • Bonsall, CA
  • NPI 1053387928
  NPD (past)

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1992856488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 ALBEMARLE DR STE 202",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711065946",
            "telephone_number": "318-687-6861",
            "fax_number": "318-687-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 ALBEMARLE DR STE 202",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711065946",
            "telephone_number": "318-687-6861",
            "fax_number": "318-687-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE X-RAY SERVICES OF SHREVEPORT BOSSIER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "MOTON",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-687-6861"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROVIDER NUMB",
            "identifier": "630000359",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1317497",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PROVIDER NUMBER",
            "identifier": "13066",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Mladenka-Dowden, FNP-BC
• MLD and Associates
• Mmo of Shreveport, LLC
• Mobile Foot Specialist, Inc
• Mobile X-Ray Services LLC
• Glenn F. Mobley Sr., COTA
• Ashish G Modi, PHARM.D
• Kalgi Modi, MD
• Malak Prakashbhai Modi, MD
• Justice Modisette

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.