DELTA MOBILE RADIOLOGY, LLC


Address: 17617 Campana Ln W, Edcouch, TX 78538-1701
Phone: 9562622220

DELTA MOBILE RADIOLOGY, LLC (NPI# 1831542935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831542935
Entity Type Organization
Organization Name DELTA MOBILE RADIOLOGY, LLC
Practice Address 17617 Campana Ln W
Edcouch
TX 78538-1701
Practice Telephone 9562622220
Practice Fax Number 9562622221
Mailing Telephone 9562622220
Mailing Fax Number 9562622221
Enumeration Date 2016-07-13
Last Update Date 2016-11-07
Authorized Official Name MR. BENIGNO LAYTON JR. (MANAGING MEMBER)
Authorized Official Telephone 9562622220
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier R41277 TX Suppliers

Office Location

Street Address 17617 CAMPANA LN W
City EDCOUCH
State TX
Zip Code 78538-1701

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1740419407 Dulces Caricias Adult Day Care LLC Clinic/Center 308 W. Santa Rosa Ave, Edcouch, TX 78538 2009-07-02
1508013400 Julian Leija Ambulance 511 W Santa Rosa Ave., Edcouch, TX 78538 2008-08-21
1982816641 Monte Alto Independent School Districe Local Education Agency (LEA) 25149 1st Street, Monte Alto, TX 78538 2007-05-04
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1174507461 Kannan Ramamurthy Internal Medicine 1200 E. Santa Rosa, Edcouch, TX 78538 2005-12-01
1316929185 Judith M Wojtowicz Nurse Practitioner 1518 E Santa Rosa, Edcouch, TX 78538 2005-11-17
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Taxonomy Information

Taxonomy Code 335V00000X
Grouping Suppliers
Classification Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Definition

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]

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NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City EDCOUCH
Zip Code 78538

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Dataset Information

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.

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