DIAGNOSTIC MOBILE X-RAY INC (NPI# 1295895282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295895282 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC MOBILE X-RAY INC |
| Practice Address |
440 S Coltrane Rd Edmond OK 73034-6733 |
| Mailing Address |
Po Box 3637 Edmond OK 73083-3637 |
| Practice Telephone | 4053300055 |
| Mailing Telephone | 4053300055 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | MRS. ELIZABETH BORGERT (VICE PRESIDENT) |
| Authorized Official Telephone | 4053300055 |
| 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 |
|---|---|---|---|
| OK | 100836690A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104923614 | Diagnostic Mobile X-ray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 28100 Challenger Blvd, Suite 112, Punta Gorda, FL 33982 | 2006-09-19 |
| Street Address |
440 S COLTRANE RD |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-6733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427479435 | Sonata Diagnostic Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 440 S Coltrane Rd, Edmond, OK 73034-6733 | 2013-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1427479435 | Sonata Diagnostic Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 440 S Coltrane Rd, Edmond, OK 73034-6733 | 2013-12-17 |
| 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 |
| 1144501552 | Midwest Mobile Radiographics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2406 E Fairfield Ct, Oologah, OK 74053-4106 | 2011-08-30 |
| 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 |
| 1659479160 | Oklahoma Mobile Xray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3011 N Highway 81, Duncan, OK 73533-8923 | 2006-09-20 |
| 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.