MOBILE X-RAY SERVICES (NPI# 1396079760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396079760 |
| Entity Type | Organization |
| Organization Name | MOBILE X-RAY SERVICES |
| Other Organization Name | KOSMA MOBILE X-RAY |
| Practice Address |
1208 Eaglecrest St Suite E Nixa MO 65714-8458 |
| Mailing Address |
3825 S Campbell Ave Pmb # 198 Springfield MO 65807-5339 |
| Practice Telephone | 4178639729 |
| Practice Fax Number | 4178630720 |
| Mailing Telephone | 4178639729 |
| Mailing Fax Number | 4178630720 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |
| Authorized Official Name | DR. JAMES PATRICK BERRIGAN (OWNER) |
| Authorized Official Telephone | 9135589396 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
000040114 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | GMDM6455-R001 | 05 |
| Other Name | Type Code |
|---|---|
| Kosma Mobile X-Ray | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639566011 | Mobile X-ray Services | Clinical Medical Laboratory | 3050 N. 20th Street, Ozark, MO 65721-5925 | 2015-04-23 |
| Street Address |
1208 EAGLECREST ST SUITE E |
| City | NIXA |
| State | MO |
| Zip Code | 65714-8458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895440 | Lester E Cox Medical Centers | Clinic/Center | 501 N Old Wilderness Road, Nixa, MO 65714 | 2020-09-10 |
| 1568941144 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 105 S Ridgecrest Ave Ste 2, Nixa, MO 65714 | 2018-08-14 |
| 1942706692 | Phillip Marshal Guison | Chiropractor | 696 W Mount Vernon St, Nixa, MO 65714 | 2018-04-02 |
| 1831561554 | Gray Psychological Services LLC | Psychologist | 402 B W. Mt. Vernon Street, Ste 337, Nixa, MO 65714 | 2015-10-21 |
| 1053787317 | Nicole Blanchard | Speech-Language Pathologist | 1801 Quail Ln, Nixa, MO 65714 | 2015-08-20 |
| 1629410766 | Danielle Ranae Lee | Nurse Practitioner | 940 W Mount Vernon St Ste 210, Nixa, MO 65714 | 2013-07-17 |
| 1205197373 | Kelly Dove Dove | Dentist | 725 W Mt. Vernon St., Nixa, MO 65714 | 2012-06-05 |
| 1831473818 | Amy Susan Wells | Pharmacist | 106 N Massey, Nixa, MO 65714 | 2011-10-07 |
| 1013207612 | Ashley E Pritchett | Counselor | 402b Mt Vernon, #122, Nixa, MO 65714 | 2011-04-15 |
| 1760632400 | Jennifer Lynn Maloney | Counselor | 611a W. Mount Vernon Street, Nixa, MO 65714 | 2008-09-30 |
| Find all providers in zip 65714 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912391368 | Mobile X-ray Services, LLC | Clinic/Center | 3050 N. 20th Street, Ozark, MO 65721 | 2015-03-24 |
| 1114276797 | Sound Imaging Inc LLC | Clinic/Center | 1614 S Broadway St, Poplar Bluff, MO 63901-6342 | 2012-08-29 |
| 1013289875 | Shay Medical Imaging, LLC | Clinic/Center | 1703 Nw Woodbury Dr, Grain Valley, MO 64029-7217 | 2012-02-08 |
| 1215239116 | Mobile Imaging Solutions, LLC | Clinic/Center | 1535 Cedar Dr, Cassville, MO 65625-1913 | 2010-11-27 |
| 1568611572 | Mobile Eye Care Technologies Inc | Clinic/Center | 301 S Florissant Rd, Ferguson, MO 63135-2737 | 2008-09-15 |
| 1568655660 | Gamma Laboratories | Clinic/Center | 1908 Greenwood Dr, Poplar Bluff, MO 63901-2430 | 2007-08-22 |
| 1083040125 | Eka Imaging, LLC | Clinic/Center | 3050 N 20th St, Ozark, MO 65721-5925 | 2013-09-20 |
| 1679727234 | Medical Outsourcing Services, LLC | Clinic/Center | 324 Emerson Rd, High Ridge, MO 63049-2542 | 2008-11-10 |
| 1205080876 | Medical Outsourcing Services, LLC | Clinic/Center | 105 E Hospital Dr, Sweet Springs, MO 65351-2229 | 2008-11-10 |
| 1770737538 | Chabot Community Eye Care | Clinic/Center | 301 S Florissant Rd, Ferguson, MO 63135-2737 | 2008-11-06 |
| 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.