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MOBILE MEDICAL IMAGING LLC NPI 1306062195


NPI Information

NPI: 1306062195
Provider Name: MOBILE MEDICAL IMAGING, LLC
Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
12501 PROSPERITY DR
SUITE 455
SILVER SPRING, MD
ZIP 20904
Phone: (301) 680-1900
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MOBILE MEDICAL IMAGING, LLC is a physiological laboratory in Silver Spring, MD. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. MOBILE MEDICAL IMAGING, LLC NPI is 1306062195. The provider is registered as an organization entity type.

The provider's business location address is:

12501 PROSPERITY DR
SUITE 455
SILVER SPRING, MD
ZIP 20904-689
Phone: (301) 680-1900
Fax: (301) 680-0920

The provider's authorized official is Desmond Courtney Brown .
The authorized official title is Ceo and has the following contact phone number (301) 680-1900.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 4/20/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1293D00000XPhysiological LaboratoryMARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P01391384OTHERRAILROAD MEDICARE PIN
2395145MEDICARE PINMARYLAND
3FDCB01MEDICARE PINDISTRICT OF COLUMBIA
404697300MEDICAIDDISTRICT OF COLUMBIA
5777788400MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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