OZARK MOBILE IMAGING LLC (NPI# 1336101856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336101856 |
| Entity Type | Organization |
| Organization Name | OZARK MOBILE IMAGING LLC |
| Practice Address |
2012 Cherry Hill Dr Suite 202e Columbia MO 65203-5882 |
| Mailing Address |
306 S Belt Hwy Saint Joseph MO 64506-3418 |
| Practice Telephone | 8162322727 |
| Practice Fax Number | 8162322771 |
| Mailing Telephone | 8162322727 |
| Mailing Fax Number | 8162322771 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2011-08-31 |
| Authorized Official Name | ZACHARY B EVANS (MEMBER) |
| Authorized Official Telephone | 8162322727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICAID | 716090808 | 01 |
| MO | MEDICARE AREA 99 | 000040062 | 01 |
| KS | MEDICAID | 200347870 | 01 |
| KS | MEDICARE KS STATEWIDE | 388930 | 01 |
| RAILROAD MEDICARE | P00060615 | 01 |
| Street Address |
2012 CHERRY HILL DR SUITE 202E |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-5882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285623504 | Cherry Hill Dental Associates Inc | Clinic/Center | 2012 Cherry Hill Dr, Suite 101, Columbia, MO 65203-5882 | 2005-10-19 |
| 1891228219 | Jessica Tappana | Social Worker | 2012 Cherry Hill Dr, Ste 202 Office B, Columbia, MO 65203-5882 | 2017-04-04 |
| 1992198840 | Jenna Miller | Dentist | 2012 Cherry Hill Dr, Suite 101, Columbia, MO 65203-5882 | 2015-03-16 |
| 1609087337 | Anthony Michael Gadbois | Dentist | 2012 Cherry Hill Dr, Suite 101, Columbia, MO 65203-5882 | 2007-05-24 |
| 1679783591 | Mary V Gadbois | Dentist | 2012 Cherry Hill Dr, Suite 101, Columbia, MO 65203-5882 | 2007-05-22 |
| 1245379981 | Andrew Stone | Optometrist | 2012 Cherry Hill Dr, Suite 201, Columbia, MO 65203-5882 | 2007-02-06 |
| 1295874832 | Andrew Stone Optometry Inc. | Clinic/Center | 2012 Cherry Hill Dr, Suite 201, Columbia, MO 65203-5882 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| 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 |
|---|---|---|---|---|
| 1003975343 | Mobile Tech, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 111 Harbor Drive, Columbia, SC 29229 | 2006-12-06 |
| 1043297088 | Mobile Radiology & Ekg of Carolina, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1310 Haviland Cir, Columbia, SC 29210-4030 | 2005-12-30 |
| 1164045928 | Pdi Health Md LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6700 Alexander Bell Dr Ste 200, Columbia, MD 21046-2105 | 2020-05-27 |
| 1487964359 | Pope Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 101 Rice Bent Way, Unit 12, Columbia, SC 29229-6849 | 2010-10-13 |
| 1598074171 | United Mobile Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1200 Main St, Suite M105, Columbia, SC 29201-3234 | 2010-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952946378 | Mjm Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1301 Oak St Ste 713, Kansas City, MO 64106-2913 | 2019-11-08 |
| 1861986176 | Biomedical Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3450 Bridgeland Dr Ste F, Bridgeton, MO 63044-2605 | 2018-06-20 |
| 1508225715 | Missouri Diagnostic Services, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1517 Copper Rd, Holts Summit, MO 65043-2033 | 2016-02-16 |
| 1891125142 | Midwest Mobile Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 408 Washington Ave Ste 107, West Plains, MO 65775-3404 | 2013-11-23 |
| 1265786305 | Prowave Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 238 Peach Ln, Ridgedale, MO 65739-4182 | 2012-10-27 |
| 1720239767 | American Mobile X-ray, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 221 Adair Road, Branson, MO 65615-7865 | 2008-10-08 |
| 1528214913 | Innovative Mobile Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 202 Miller Way, Monett, MO 65708-8336 | 2008-08-18 |
| 1790959773 | Digital X Mobile, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 13 Cedar Crest Dr, Fenton, MO 63026-5041 | 2008-04-21 |
| 1376749812 | Mobile X-ray Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3050 N 20th St, Ozark, MO 65721-5925 | 2007-06-22 |
| 1720106958 | Gateway Sonographics, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1115 James Dr, Imperial, MO 63052-2343 | 2007-03-26 |
| Find all providers with the same taxonomy | ||||
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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.