SKG MOBILE DIAGNOSTICS, LLC (NPI# 1336451202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336451202 |
| Entity Type | Organization |
| Organization Name | SKG MOBILE DIAGNOSTICS, LLC |
| Practice Address |
14515 Panther Pt Helotes TX 78023-4366 |
| Mailing Address |
16620 N Us Highway 281 Suite 300 San Antonio TX 78232-2327 |
| Practice Telephone | 2109983377 |
| Practice Fax Number | 2106882516 |
| Mailing Telephone | 2109983377 |
| Mailing Fax Number | 2106160704 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2016-02-05 |
| Authorized Official Name | SHAWN K GRUBBS (OWNER) |
| Authorized Official Telephone | 8325637795 |
| Authorized Official Credential | RDMS, RVT, RDCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246XC2903X |
Spec/Tech, Cardiovascular Specialization: Vascular Specialist |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
14515 PANTHER PT |
| City | HELOTES |
| State | TX |
| Zip Code | 78023-4366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750743696 | Natalya Bejar | Dentist | 12415 Bandera, 110, Helotes, TX 78023 | 2016-03-21 |
| 1235317470 | Jeffrey Mays Hart | Optometrist | 21325 Private Road 177, Helotes, TX 78023 | 2008-02-08 |
| 1528260544 | Candace Clare Lochridge | Physical Therapy Assistant | 11018 Chicory Field, Helotes, TX 78023 | 2007-06-01 |
| 1538299383 | Jose Antonio Brigman | Dentist | 12415 Bandera Rd., Suite 110, Helotes, TX 78023 | 2007-03-07 |
| 1720148778 | Marlena L. Pomelow | Dentist | 14938 San Pasqual, Helotes, TX 78023 | 2006-12-11 |
| 1790855716 | Mohamed Farouk Mitwally | Obstetrics & Gynecology | 122 Candelaria, Helotes, TX 78023 | 2006-11-08 |
| 1992811889 | Thomas J Haberman Dds PC | Dentist | 13438 Bandera Rd, #202, Helotes, TX 78023 | 2006-08-22 |
| 1871521823 | Karen T. Allsup | Obstetrics & Gynecology | 12850 Bandera Rd Ste 106, Helotes, TX 78023 | 2006-06-29 |
| 1396726725 | Thp Inc | Durable Medical Equipment & Medical Supplies | 12914 Bandera Hwy, Helotes, TX 78023 | 2005-11-11 |
| 1760472948 | Imam Eko Tjahja | Internal Medicine | 12340 Bandera Rd Ste 104, Helotes, TX 78023 | 2005-10-27 |
| Find all providers in zip 78023 | ||||
| Taxonomy Code | 246XS1301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568085538 | Christina Danielle Barraco | Spec/Tech, Cardiovascular | 5723 Glenmere Ln, Spring, TX 77379-7845 | 2020-05-25 |
| 1265067276 | Charles Drew Smith | Spec/Tech, Cardiovascular | 914 Rscr 3345, Emory, TX 75440-4810 | 2020-03-10 |
| 1013547314 | Annali Goette | Spec/Tech, Cardiovascular | 305 Murray Farm Dr Apt 428, Fairview, TX 75069-6907 | 2020-01-25 |
| 1932751146 | Edis Hobson | Spec/Tech, Cardiovascular | 8323 Southwest Fwy Ste 470, Houston, TX 77074-1636 | 2019-07-09 |
| 1538625306 | Brian Lawson | Spec/Tech, Cardiovascular | 5508 Valley Oak Dr, El Paso, TX 79932-4404 | 2019-02-15 |
| 1811468077 | Nyquist Imaging,llc | Spec/Tech, Cardiovascular | 7248 Copper Trail Ave, El Paso, TX 79934-3415 | 2018-12-16 |
| 1477023448 | Keylesha Susso | Spec/Tech, Cardiovascular | 1705 Coit Rd Apt 1017, Plano, TX 75075-6146 | 2018-12-03 |
| 1922504455 | Beng Mooi Liew | Spec/Tech, Cardiovascular | 3401 Nova Trl, Plano, TX 75023-3608 | 2018-04-03 |
| 1215432034 | Tiffany Aneu | Spec/Tech, Cardiovascular | 5301 W Spring Creek Pkwy Apt 735, Plano, TX 75024-4905 | 2018-03-25 |
| 1427565860 | Lynette Gascoigne | Spec/Tech, Cardiovascular | 18833 Town Ridge Lane, Apt 1424, Webster, TX 77598-7759 | 2018-01-08 |
| 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.