PHYSICIAN'S MOBILE X-RAY, INC (NPI# 1720404767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720404767 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN'S MOBILE X-RAY, INC |
| Practice Address |
16107a Elliott Pkwy Williamsport MD 21795-4084 |
| Mailing Address |
945 E Park Dr Ste 102 Harrisburg PA 17111-2804 |
| Practice Telephone | 7175614940 |
| Practice Fax Number | 7175614999 |
| Mailing Telephone | 7175614940 |
| Mailing Fax Number | 7175614999 |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |
| Authorized Official Name | TODD GELBAUGH (CEO) |
| Authorized Official Telephone | 7175614940 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336656487 | Physician's Mobile X-ray, Inc | Radiology | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2018-01-10 |
| 1831606011 | Physician's Mobile X-ray, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2018-01-09 |
| 1114448891 | Physician's Mobile X-ray, Inc | Radiology | 210 Front Royal Pike, Winchester, VA 22602-7313 | 2017-07-03 |
| 1598286437 | Physician's Mobile X-ray, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 210 Front Royal Pike, Winchester, VA 22602-7313 | 2017-06-30 |
| 1447677158 | Physician's Mobile X-ray, Inc | Radiology | 16107a Elliott Pkwy, Williamsport, MD 21795-4084 | 2014-03-20 |
| 1518382985 | Physician's Mobile X-ray, Inc | Radiology | 3540 Three Little Bakers Blvd, Wilmington, DE 19808-1754 | 2014-02-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHYSICIAN'S MOBILE X-RAY, INC. | 945 E Park Dr Ste 102, Harrisburg, PA 17111-2804 |
| Street Address |
16107A ELLIOTT PKWY |
| City | WILLIAMSPORT |
| State | MD |
| Zip Code | 21795-4084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356489348 | Old Line Healthcare Inc | Pharmacy | 16107a Elliott Pkwy, Williamsport, MD 21795-4084 | 2007-02-02 |
| 1447677158 | Physician's Mobile X-ray, Inc | Radiology | 16107a Elliott Pkwy, Williamsport, MD 21795-4084 | 2014-03-20 |
| 1265717342 | Natalie R Logsdon | Pharmacist | 16107a Elliott Pkwy, Williamsport, MD 21795-4084 | 2011-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396736088 | Cynthia L Campbell | Nurse Anesthetist, Certified Registered | 10212 Governor Lane Blvd Unit 1004, Williamsport, MD 21795 | 2005-11-02 |
| 1417375692 | Jamie Clare Worsley | Family Medicine | 16605 Kendle Rd, Williamsport, MD 21795 | 2014-04-03 |
| 1548456460 | Judith Ann Christner | Speech-Language Pathologist | 154 N Artizan St, Williamsport, MD 21795 | 2007-09-25 |
| 1366530057 | Penbec Inc | Pharmacy | 34 N Conococheague St, Williamsport, MD 21795-1004 | 2006-10-10 |
| 1386717544 | Shannon Leigh Mellott | Occupational Therapy Assistant | 154 N Artizan St, Williamsport, MD 21795-1104 | 2006-11-16 |
| 1023586856 | Brianna Rachelle Dorsey | Speech-Language Pathologist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-11-09 |
| 1134697311 | Megan Dmuchowski | Occupational Therapist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-11-06 |
| 1427557800 | Flagship Rehabilitation, Inc | Occupational Therapist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-02-12 |
| 1154838811 | Jamie Auxt Mcelwee | Speech-Language Pathologist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-01-03 |
| 1346757275 | Christopher George Nyack | Occupational Therapist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2017-12-31 |
| Find all providers in zip 21795 | ||||
| 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 |
|---|---|---|---|---|
| 1407454465 | Atlantic Portable X-ray, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9748 Stephen Decatur Hwy Ste 113, Ocean City, MD 21842-9358 | 2020-10-13 |
| 1396156220 | Salubiinfluence | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11200 Lockwood Dr Apt 515, Silver Spring, MD 20901-4528 | 2014-05-13 |
| 1053743260 | Access Mobile Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1100 Volos Ct, Bel Air, MD 21015-2019 | 2013-07-30 |
| 1487910048 | Muma's Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6521 Greenfield Ct, Lanham, MD 20706-3556 | 2012-04-09 |
| 1174577969 | Mobile Medical Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 12501 Prosperity Dr, Suite 455, Silver Spring, MD 20904-1689 | 2006-05-19 |
| 1700865094 | Symphony Diagnostic Services No 1 LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 930 Ridgebrook Rd, 3rd Floor, Sparks, MD 21152-9390 | 2006-01-13 |
| 1801898077 | Radiation Physics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 10133 Bacon Dr, Beltsville, MD 20705-2102 | 2005-06-01 |
| 1548869894 | All-stat Portable Md, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 12501 Prosperity Dr Ste 455, Silver Spring, MD 20904-1689 | 2020-10-19 |
| 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 |
| 1801434907 | Pdihealth Md LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 12 S Summit Ave Ste 100-a25, Gaithersburg, MD 20877-2089 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSPORT |
| Zip Code | 21795 |
Please comment or provide details below to improve the information on PHYSICIAN'S MOBILE X-RAY, INC.
| 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.