MOBILE X-RAY SERVICES OF SHREVEPORT BOSSIER INC (NPI# 1992856488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992856488 |
| Entity Type | Organization |
| Organization Name | MOBILE X-RAY SERVICES OF SHREVEPORT BOSSIER INC |
| Practice Address |
670 Albermarle Drive Suite 202 Shreveport LA 71106 |
| Mailing Address |
9376 Mansfield Rd Shreveport LA 71118-3181 |
| Practice Telephone | 3186876861 |
| Practice Fax Number | 3186876768 |
| Mailing Telephone | 3186876861 |
| Mailing Fax Number | 3186876768 |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | MEAGAN MOTON (PRESIDENT) |
| Authorized Official Telephone | 3186876861 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1317497 | 05 | |
| LA | BC BS PROVIDER NUMBER | 13066 | 01 |
| LA | RR MEDICARE PROVIDER NUMB | 630000359 | 01 |
| Street Address |
670 ALBERMARLE DRIVE SUITE 202 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1437476793 | St. Christopher's Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1725 Elizabeth Ave, Shreveport, LA 71101-4502 | 2010-04-27 |
| 1538537436 | St. Christopher's Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1725 Elizabeth Ave, Shreveport, LA 71101-4502 | 2015-09-09 |
| 1457741852 | St. Christopher's Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1725 Elizabeth Ave, Shreveport, LA 71101-4502 | 2015-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602592 | Healthy Heart Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 119 E Main St Ste 200, Lafayette, LA 70501-6921 | 2020-06-08 |
| 1861011447 | Medlabs Express,inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2208a Bonaventure Ct, Alexandria, LA 71301-3374 | 2020-04-13 |
| 1861051831 | Jason Allen | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 120 Longfellow Dr, Lafayette, LA 70503-6611 | 2019-06-12 |
| 1417414426 | Palmetto Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 222 Creek Stone Dr, West Monroe, LA 71291-0709 | 2019-02-26 |
| 1619432382 | Prevail Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 8644 Eunice Iota Hwy, Eunice, LA 70535-6749 | 2019-02-06 |
| 1023492832 | D.r. Mobile Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 319 Hedge Hill Cv, Calhoun, LA 71225-8710 | 2015-07-13 |
| 1689065880 | Lisa Tebault | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11650 West Barrington Dr, New Orleans, LA 70128 | 2015-02-10 |
| 1982983276 | Local Portable Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 165 Rock Hill Ln, Noble, LA 71462-3036 | 2011-08-04 |
| 1588955009 | Vascular Testing of Acadiana | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 386 Roxsan Rd, Sunset, LA 70584-5165 | 2011-05-02 |
| 1649594359 | Cardiovascular Imaging of Louisiana | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2671 Main Hwy, Breaux Bridge, LA 70517-6637 | 2010-03-24 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on MOBILE X-RAY SERVICES OF SHREVEPORT BOSSIER INC.
| 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.