Southwest Mobile Imaging, Inc

Primary specialty

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

License

R20353 Issued in TX

Legal business name

SOUTHWEST MOBILE IMAGING, INC

Practice address

472 Farm Road 2297
Sulphur Springs, TX 75482-4719

Phone

(903) 439-6085

Fax

(903) 439-0462

NPI assigned

Oct 23, 2007

Last updated

Jan 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Etai Sooliman

Title

Ceo

Phone

(224) 337-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry B Jennings, M.D.

  • Diagnostic Radiology Physician
  • Sulphur Springs, TX
  • NPI 1629094305
  NPD (past)
• Derek Kurt Urban, MD

  • Diagnostic Radiology Physician
  • Lackland AFB, TX
  • NPI 1033197454
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1992994156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 FARM ROAD 2297",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824719",
            "telephone_number": "903-439-6085",
            "fax_number": "903-439-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 FARM ROAD 2297",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824719",
            "telephone_number": "903-439-6085",
            "fax_number": "903-439-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MOBILE IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "SOOLIMAN",
        "authorized_official_first_name": "ETAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-337-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "TX",
            "license": "R20353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086092601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodney Smiley, NP
• Meghan E Smith, M.D.
• Stephen Wayne Smith, OTD, M.ED., OTR/L
• Tyler Gibson Smith
• Morgan Nichole Sollie
• SSNC, Inc. (Rock Creek Health and Rehabilitation)
• Ronald Truett Stanley, M.D.
• Star CPD Services LLC
• Jennifer N Staten, LCSW
• Joann Steele, RPH

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Sulphur Springs, TX
• Providers in Sulphur Springs, TX by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Texas

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