MIDWEST MOBILE RADIOGRAPHICS (NPI# 1144501552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144501552 |
| Entity Type | Organization |
| Organization Name | MIDWEST MOBILE RADIOGRAPHICS |
| Practice Address |
2406 E Fairfield Ct Oologah OK 74053-4106 |
| Practice Telephone | 9186912688 |
| Mailing Telephone | 9186912688 |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2011-08-30 |
| Authorized Official Name | RICK HANNEMAN (PRESIDENT) |
| Authorized Official Telephone | 9186912688 |
| 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 |
| Street Address |
2406 E FAIRFIELD CT |
| City | OOLOGAH |
| State | OK |
| Zip Code | 74053-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205094 | Destiny Lyn Ellis | Student in an Organized Health Care Education/Training Program | 8306 E. Hwy 88, Oologah, OK 74053 | 2017-06-27 |
| 1407059249 | Dana Lynn Bryant | Social Worker | 3081 E 430 Rd, Oologah, OK 74053 | 2007-06-08 |
| 1477636249 | Oologah Talala Public School | Local Education Agency (LEA) | 9500 South 169 Highway, Oologah, OK 74053 | 2006-10-23 |
| 1912012279 | Joe Frank Maltsberger | Dentist | Hwy 169 and Atlas Ave, Oologah, OK 74053 | 2006-08-20 |
| 1417990714 | Richard Arnold Franklin | Dentist | 225 N Hwy 169, Oologah, OK 74053 | 2006-06-14 |
| 1902428410 | David Castleman | Counselor | 12834 Old Us 169, Oologah, OK 74053 | 2020-05-07 |
| 1104225697 | Oologah-talala Public Schools | Local Education Agency (LEA) | 10700 S.169 Hwy., Oologah, OK 74053-0189 | 2014-08-20 |
| 1285834085 | Robert Harvey | Chiropractor | 115 W. Atlas Ave., Oologah, OK 74053-1042 | 2007-07-19 |
| 1740330588 | Trummel's Drug Store | Pharmacy | 459 S Elm St, Oologah, OK 74053-3017 | 2007-01-12 |
| 1972572451 | James Sam Stauffer | Family Medicine | 485 S Elm St, Oologah, OK 74053-3017 | 2006-03-16 |
| Find all providers in zip 74053 | ||||
| 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 |
|---|---|---|---|---|
| 1124637574 | Quality Medical Imaging of Oklahoma, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 Shady Creek Rd Ste 115, Durant, OK 74701-2412 | 2020-07-30 |
| 1982157178 | Schryver Medical Sales and Marketing, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1236 Sovereign Row, Oklahoma City, OK 73108-1823 | 2016-07-25 |
| 1467810986 | Red River Mobile Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2807 Lorrie Ln, Durant, OK 74701-1660 | 2016-01-29 |
| 1730554031 | Jay L Krottinger | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis Ave, Tulsa, OK 74104-1615 | 2015-12-11 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1831417351 | Mms Imaging Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1415 Nw 43rd St, Oklahoma City, OK 73118-5021 | 2010-05-07 |
| 1851540173 | Professional Xray Mobility LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 14700 S Harvey Ave, Oklahoma City, OK 73170-7224 | 2008-09-10 |
| 1518027507 | Diagnostic Mobile Xray of Enid | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 247 S Coltrane Rd, Edmond, OK 73034-6730 | 2006-12-11 |
| 1295895282 | Diagnostic Mobile X-ray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 440 S Coltrane Rd, Edmond, OK 73034-6733 | 2006-12-11 |
| 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.