MOBILE CR IMAGING, LLC (NPI# 1104834258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104834258 |
| Entity Type | Organization |
| Organization Name | MOBILE CR IMAGING, LLC |
| Practice Address |
4749 Williams Dr Georgetown TX 78633 |
| Mailing Address |
4749 Williams Dr Georgetown TX 78633-3710 |
| Practice Telephone | 8443219729 |
| Practice Fax Number | 5122335966 |
| Mailing Telephone | 8443219729 |
| Mailing Fax Number | 5122335966 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2018-08-01 |
| Authorized Official Name | CRAIG DAVIS II (OWNER) |
| Authorized Official Telephone | 8443219729 |
| Authorized Official Credential | RT(R) |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 178311003 | 05 |
| Street Address |
4749 WILLIAMS DR |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417404153 | Ochna Health | Clinic/Center | 4749 Williams Dr, Suite 304, Georgetown, TX 78633 | 2016-09-09 |
| 1952624215 | Sheryl Anne Goodman | Counselor | 4749 Williams Dr, Suite 336, Georgetown, TX 78633-3710 | 2010-03-01 |
| 1609005628 | Mary Amanda Jelinek | Psychologist | 4749 Williams Dr, Suite 301, Georgetown, TX 78633-3710 | 2009-07-12 |
| 1023246162 | Gregory Marc Varhely | Psychiatry & Neurology | 4749 Williams Dr, Ste 321, Georgetown, TX 78633-3710 | 2009-06-28 |
| 1619041407 | Chau Hoang Nguyen | Family Medicine | 4749 Williams Dr, Suite 304, Georgetown, TX 78633 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098937 | Medsur One Telemedicine LLC | Nurse Practitioner | 110 Eisenhower Court (administrative Office Location), 1309 Coffeen Ave Ste 1200 Sheridan Wy 82801, Georgetown, TX 78633 | 2020-03-18 |
| 1467946384 | Majestic Healthcare, Pllc | Nurse Practitioner | 110 Eisenhower Ct, Georgetown, TX 78633 | 2018-06-15 |
| 1912419649 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 5721 Williams Dr, Georgetown, TX 78633 | 2017-11-03 |
| 1255783510 | Peter James Mcgrath | Physical Therapist | 4749 Williams Drive, Suite 335, Georgetown, TX 78633 | 2016-07-11 |
| 1316357346 | Cody Ryon Gomez | Internal Medicine | 3201 South Austin Ave, Suite 205, Georgetown, TX 78633 | 2014-04-29 |
| 1902130701 | Don Wayne Berry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 624 Rio Grand Loop, Georgetown, TX 78633 | 2009-09-25 |
| 1851567499 | Georgetown Pediatric Dentistry, LLC | Dentist | 4507 Williams Drive, Georgetown, TX 78633 | 2008-05-04 |
| 1215035845 | Saramma George | Family Medicine | 105 Wildwood Drive, Suite 105, Georgetown, TX 78633 | 2006-09-20 |
| 1619997350 | Kathryn E Holland | Counselor | 603 Chambers Creek Ct, Georgetown, TX 78633 | 2006-07-19 |
| 1649724501 | Ariane Newell | Acupuncturist | 5353 Williams Dr Ste 100, Georgetown, TX 78633 | 2016-08-09 |
| Find all providers in zip 78633 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265764146 | Texas Mobile Xray, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3509 Brangus Rd, Georgetown, TX 78628-1713 | 2010-02-03 |
| 1629158746 | Express Mobil X-ray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 219 Duck Creek Ln, Georgetown, TX 78633-4114 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127908 | First Choice Mobile Imaging Service of Texas, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 781 Station Dr Ste 109, Arlington, TX 76015-1651 | 2020-09-08 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
| 1326661190 | Precise Vascular Sonography LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 24165 Ih 10 W Ste 217-750, San Antonio, TX 78257-1449 | 2020-05-27 |
| 1528680378 | South Texas Rdi Group LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6630 Fm 1463 Rd Ste 500-134, Katy, TX 77494-7412 | 2020-05-15 |
| 1457985582 | Neighborhood Portable X-ray Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K Suite 109, Plano, TX 75074 | 2020-02-27 |
| 1891326765 | Kelly Joe Stanley | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K, 109, Plano, TX 75074 | 2020-01-30 |
| 1528609997 | Biostat Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4841 Keller Springs Rd Ste A, Addison, TX 75001-5912 | 2019-10-07 |
| 1811543150 | Genesis Mobile Logistics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 13988 Diplomat Dr Ste D, Dallas, TX 75234-8807 | 2019-08-13 |
| 1346726411 | National Mobile X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2121 Lohman's Crossing, Ste 504 Pmb 454, Lakeway, TX 78734-5288 | 2018-07-12 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 78633 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.