MOBILE XRAY OF AMARILLO (NPI# 1780620674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780620674 |
| Entity Type | Organization |
| Organization Name | MOBILE XRAY OF AMARILLO |
| Practice Address |
4303 South Fannin Amarillo TX 79110-0000 |
| Mailing Address |
P O Box 19368 Amarillo TX 79114-1368 |
| Practice Telephone | 8063716717 |
| Mailing Telephone | 8063716717 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-04-01 |
| Authorized Official Name | MR. MARK PAUL BROWN (OWNER) |
| Authorized Official Telephone | 8063716717 |
| 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 | 12900 | TX | Suppliers |
| Street Address |
4303 SOUTH FANNIN |
| City | AMARILLO |
| State | TX |
| Zip Code | 79110-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972060234 | Brenda Carole Hoot | Dietitian, Registered | 5111 Canyon Drive, Amarillo, TX 79110 | 2019-02-22 |
| 1861856288 | Andrea Walker | Contractor | 4004 Business Park Dr, Amarillo, TX 79110 | 2016-04-12 |
| 1801181508 | Kendra Mclaughlin | Counselor | 7601 S Western St, Amarillo, TX 79110 | 2011-06-10 |
| 1649373861 | Daniel M Novak | Internal Medicine | 3108 S. Fillmore St., Amarillo, TX 79110-1026 | 2006-09-06 |
| 1356397301 | Amarillo Multiservice Center for The Aging, Inc. | Clinic/Center | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2006-05-25 |
| 1992256887 | Angelica Sanchez Lopez | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2016-10-17 |
| 1891109773 | Breezi Leeann Wilson | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2014-06-18 |
| 1619380516 | Christel Holt | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2014-06-09 |
| 1417207408 | Petra Lashun Telford | Licensed Vocational Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-09-17 |
| 1952651929 | Patsy Haner | Physical Therapy Assistant | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-09-17 |
| Find all providers in zip 79110 | ||||
| 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 |
|---|---|---|---|---|
| 1073127908 | First Choice Mobile Imaging Service of Texas, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 781 Station Dr Ste 109, Arlington, TX 76015-1651 | 2020-09-08 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
| 1326661190 | Precise Vascular Sonography LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 24165 Ih 10 W Ste 217-750, San Antonio, TX 78257-1449 | 2020-05-27 |
| 1528680378 | South Texas Rdi Group LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6630 Fm 1463 Rd Ste 500-134, Katy, TX 77494-7412 | 2020-05-15 |
| 1457985582 | Neighborhood Portable X-ray Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K Suite 109, Plano, TX 75074 | 2020-02-27 |
| 1891326765 | Kelly Joe Stanley | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K, 109, Plano, TX 75074 | 2020-01-30 |
| 1528609997 | Biostat Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4841 Keller Springs Rd Ste A, Addison, TX 75001-5912 | 2019-10-07 |
| 1811543150 | Genesis Mobile Logistics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 13988 Diplomat Dr Ste D, Dallas, TX 75234-8807 | 2019-08-13 |
| 1346726411 | National Mobile X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2121 Lohman's Crossing, Ste 504 Pmb 454, Lakeway, TX 78734-5288 | 2018-07-12 |
| 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.