STAR MOBILE IMAGING (NPI# 1831588953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831588953 |
| Entity Type | Organization |
| Organization Name | STAR MOBILE IMAGING |
| Practice Address |
310 San Mateo Ct Irving TX 75062-4509 |
| Practice Telephone | 2282093371 |
| Mailing Telephone | 2146805970 |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2017-03-16 |
| Authorized Official Name | BRANDON HOLBERT (PRESIDENT) |
| Authorized Official Telephone | 2146805970 |
| Authorized Official Credential | RVT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
15327 | TX | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | SONOGRAPHER LICENSE | 153257 | 01 |
| Street Address |
310 SAN MATEO CT |
| City | IRVING |
| State | TX |
| Zip Code | 75062-4509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275922445 | Brandon Holbert | Radiologic Technologist | 310 San Mateo Ct, Irving, TX 75062-4509 | 2015-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029039 | Parham Dental Team, Pllc | Dentist | 3100 N O'connor Rd, # 100, Irving, TX 75062 | 2020-10-05 |
| 1649896119 | Evolve Medical Supply & Equipment, LLC | Durable Medical Equipment & Medical Supplies | 4953 N. O'connor Rd., Suite 150, Irving, TX 75062 | 2020-06-22 |
| 1376198507 | Sanitas Medical Center of Texas Pa | Family Medicine | 3917 West Airport Freeway, Irving, TX 75062 | 2019-08-05 |
| 1295392306 | Rami Marwan El-bkaily | Optometrist | 4100 W Airport Fwy Unit 100, Irving, TX 75062 | 2019-05-23 |
| 1891352118 | Smazy Enterprise LLC | Optometrist | W. Airport Freeway, Ste 122, Irving, TX 75062 | 2019-05-22 |
| 1568029023 | Bcs Management LLC | Physical Therapist | 2642 N Belt Line Rd, Suite 2642, Irving, TX 75062 | 2019-05-21 |
| 1639633696 | In His Image Counseling Center, Pllc | Marriage & Family Therapist | 4425 W. Airport Fwy, Suite 244, Irving, TX 75062 | 2019-01-24 |
| 1316446701 | Thinh Le | Dentist | 4040 W. Northgate Dr., Irving, TX 75062 | 2018-02-12 |
| 1366972259 | Erick Marquez | Dentist | 118 E John W Carpenter Fwy, #170, Irving, TX 75062 | 2017-06-14 |
| 1740718584 | Cosmetic Companions LLC | Home Health | 320 Decker Dr Ste 100, Irving, TX 75062 | 2017-05-24 |
| Find all providers in zip 75062 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275922445 | Brandon Holbert | Radiologic Technologist | 310 San Mateo Ct, Irving, TX 75062-4509 | 2015-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952924730 | Michael Testa Jr. | Radiologic Technologist | 3801 N Lamar Blvd # 350, Austin, TX 78756-4080 | 2020-05-27 |
| 1174143713 | Casey Lunt | Radiologic Technologist | 4621 Dusk Meadow Dr, Carrollton, TX 75010-2069 | 2020-04-23 |
| 1083242093 | Bridget Andersen | Radiologic Technologist | 4618 Avenue R 1/2, Galveston, TX 77551-5327 | 2020-03-27 |
| 1972141901 | Reynaldo Reyes | Radiologic Technologist | 9801 Royal Ln Apt 307, Dallas, TX 75231-1825 | 2019-12-20 |
| 1588222772 | Tiessa Lurae Self | Radiologic Technologist | 927 Strawberry Rd, Pasadena, TX 77506-4821 | 2019-06-03 |
| 1790224210 | Makeba Waller | Radiologic Technologist | 1719 Almond Dr, Mansfield, TX 76063-2916 | 2017-02-16 |
| 1346657921 | Kellie A Arce | Radiologic Technologist | 2056 Sundance Pkwy Apt 2320, New Braunfels, TX 78130-2790 | 2014-07-16 |
| 1205242674 | Shiva Ghazizadeh | Radiologic Technologist | 1304 W Branch Hollow Dr, Carrollton, TX 75007-1144 | 2014-07-07 |
| 1336562461 | Rajesh Mehta | Radiologic Technologist | 3527 Highway 6, Suite 270, Sugar Land, TX 77478-4519 | 2014-01-24 |
| 1932521697 | Amber Yound | Radiologic Technologist | 350 W Highland Blvd, San Angelo, TX 76903-7313 | 2014-01-15 |
| 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.