MOBILE X-RAY SERVICES LLC (NPI# 1376749812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376749812 |
Entity Type | Organization |
Organization Name | MOBILE X-RAY SERVICES LLC |
Other Organization Name | KOSMA MOBILE X-RAY CO |
Practice Address |
3050 N 20th St Ozark MO 65721-5925 |
Practice Telephone | 4178639729 |
Practice Fax Number | 4178630720 |
Mailing Telephone | 4178639729 |
Mailing Fax Number | 4178630720 |
Enumeration Date | 2007-06-22 |
Last Update Date | 2014-10-20 |
Authorized Official Name | EARL B MAES (PRESIDENT) |
Authorized Official Telephone | 4178639729 |
Authorized Official Credential | M.D. |
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 |
Other Name | Type Code |
---|---|
Kosma Mobile X-Ray Co | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437469004 | Mobile X-ray Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9376 Mansfield Rd, Suite B, Shreveport, LA 71118-3181 | 2010-10-18 |
Street Address |
3050 N 20TH ST |
City | OZARK |
State | MO |
Zip Code | 65721-5925 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083040125 | Eka Imaging, LLC | Clinic/Center | 3050 N 20th St, Ozark, MO 65721-5925 | 2013-09-20 |
1053547927 | Emergence Teleradiology, LLC | Radiology | 3050 N 20th St, Ozark, MO 65721-5925 | 2009-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063054880 | Ramya Sravani Pakala | Family Medicine | 5571 N. 21st St., Ozark, MO 65721 | 2019-10-14 |
1871073346 | Regional Services | Nurse Practitioner | 1350 W Bluff Dr, Ozark, MO 65721 | 2018-08-15 |
1932602125 | Clarence William Jaggard Jr. | Family Medicine | Ozark Valley Medical Clinic 5571 N. 21st St., Ozark, MO 65721 | 2018-03-14 |
1053826750 | Veronica Keller | Speech-Language Pathologist | 3608 N. Highway Nn, Ozark, MO 65721 | 2017-12-05 |
1124546304 | Kara Nicole Peterson | Speech-Language Pathologist | 302 N 4th Ave., Ozark, MO 65721 | 2017-09-07 |
1912391368 | Mobile X-ray Services, LLC | Clinic/Center | 3050 N. 20th Street, Ozark, MO 65721 | 2015-03-24 |
1073787289 | Melissa Milan | Counselor | 332 South 3rd Street, Ozark, MO 65721 | 2008-04-17 |
1306038948 | Preferred Hospice of Missouri Southwest LLC | Hospice Care, Community Based | 1567 West Diane, Suite B, Ozark, MO 65721 | 2007-08-17 |
1508073040 | Retirement At Century Pines Inc. | Assisted Living Facility | 709 E. Mccracken, Ozark, MO 65721 | 2007-05-16 |
1184844482 | Ozark Medical Imaging Center | Radiology | 1500 W State Hwy J, Ozark, MO 65721 | 2007-04-27 |
Find all providers in zip 65721 |
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 |
---|---|---|---|---|
1952946378 | Mjm Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1301 Oak St Ste 713, Kansas City, MO 64106-2913 | 2019-11-08 |
1861986176 | Biomedical Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3450 Bridgeland Dr Ste F, Bridgeton, MO 63044-2605 | 2018-06-20 |
1508225715 | Missouri Diagnostic Services, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1517 Copper Rd, Holts Summit, MO 65043-2033 | 2016-02-16 |
1891125142 | Midwest Mobile Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 408 Washington Ave Ste 107, West Plains, MO 65775-3404 | 2013-11-23 |
1265786305 | Prowave Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 238 Peach Ln, Ridgedale, MO 65739-4182 | 2012-10-27 |
1720239767 | American Mobile X-ray, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 221 Adair Road, Branson, MO 65615-7865 | 2008-10-08 |
1528214913 | Innovative Mobile Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 202 Miller Way, Monett, MO 65708-8336 | 2008-08-18 |
1790959773 | Digital X Mobile, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 13 Cedar Crest Dr, Fenton, MO 63026-5041 | 2008-04-21 |
1720106958 | Gateway Sonographics, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1115 James Dr, Imperial, MO 63052-2343 | 2007-03-26 |
1417016114 | Hannibal Mobile Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2910 St. Mary's Ave., Hannibal, MO 63401 | 2006-12-08 |
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.