MOBILE RADIOLOGY SERVICES, INC. (NPI# 1396745071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396745071 |
Entity Type | Organization |
Organization Name | MOBILE RADIOLOGY SERVICES, INC. |
Practice Address |
5704 Ridgeview Dr Jonesboro AR 72404-9043 |
Practice Telephone | 8709725400 |
Practice Fax Number | 8709725537 |
Mailing Telephone | 8709725400 |
Mailing Fax Number | 8709725537 |
Enumeration Date | 2005-07-26 |
Last Update Date | 2007-11-16 |
Authorized Official Name | MRS. SUZANNE MARTIN (OWNER) |
Authorized Official Telephone | 8709725400 |
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 | 19816 | AR | Suppliers |
N | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | MO | Suppliers |
Street Address |
5704 RIDGEVIEW DR |
City | JONESBORO |
State | AR |
Zip Code | 72404-9043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740745967 | Imove, LLC | Physical Therapist | 8700 S. Caraway Rd., Apt. L2, Jonesboro, AR 72404 | 2019-02-01 |
1245728914 | Karina Coats | Nurse Anesthetist, Certified Registered | 2409 Skyline Pt, Jonesboro, AR 72404 | 2018-04-27 |
1619325263 | Kathryn Meyers | Specialist/Technologist | 1614 Latourette Ln Apt 2, Jonesboro, AR 72404 | 2016-05-24 |
1922476571 | Tmj and Facial Pain Center,llc | Dentist | 2600 Browns Lane, Ste B, Jonesboro, AR 72404 | 2015-09-11 |
1265828156 | Hd Dental, Pa Dba Smile Dental | Dentist | 6009 Highway 1 South, Jonesboro, AR 72404 | 2015-04-08 |
1124445358 | Tanner Wilson Jarrett | Occupational Therapy Assistant | 3114 Fox Road Suite A, Jonesboro, AR 72404 | 2014-03-26 |
1154759793 | Kasey Boyd | Specialist/Technologist | 1717 Hwy 163, Jonesboro, AR 72404 | 2013-10-17 |
1578848610 | Maria Ivonne Norman | Physical Therapist | 8700 S. Caraway Rd. Apt. L2, (the Meadows), Jonesboro, AR 72404 | 2011-10-20 |
1003198839 | Rachel Hollimon Golden | Speech-Language Pathologist | 4410 Harrisburg Rd., Jonesboro, AR 72404 | 2011-09-19 |
1225358021 | Darrell R Gann | Physical Therapy Assistant | 6040 Beaver Creek, Jonesboro, AR 72404 | 2010-06-03 |
Find all providers in zip 72404 |
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 |
---|---|---|---|---|
1811403637 | Med Mobile Digital Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 124 S Jackson Ste 321, Magnolia, AR 71753-3540 | 2017-12-15 |
1316463227 | Clearview Digital Image LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 16502 Lawson Rd Ste A, Little Rock, AR 72210-2020 | 2017-08-22 |
1053602532 | Camcade Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 200 Hill St, Warren, AR 71671-2483 | 2011-05-02 |
1649595794 | On-site Imaging Solutions, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 16502 Lawson Rd, Little Rock, AR 72210-2020 | 2010-04-01 |
1952532335 | Advanced Portable X-ray, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3718 Jefferson Ave, Texarkana, AR 71854-2244 | 2009-08-03 |
1306901806 | River Valley Mobile Radiology, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 76 Stream Rd, Russellville, AR 72802-1824 | 2006-12-26 |
1063472074 | H & B Mobile X-ray | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3205 West Main, Russellville, AR 72801 | 2006-03-24 |
1598264186 | Gamma Healthcare, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4020 Richards Rd, North Little Rock, AR 72117-2650 | 2018-02-08 |
1619292653 | David Allen Faulkner | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3025 N Wyatt Dr, El Dorado, AR 71730-4189 | 2010-04-01 |
1669704987 | University of Arkansas for Medical Sciences | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2010-02-11 |
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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.