Provider Type Icon

MOBILE MEDICAL RADIOGRAPHY AND EKG INC NPI 1053302042


NPI Information

NPI: 1053302042
Provider Name: MOBILE MEDICAL RADIOGRAPHY AND EKG INC
Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
Entity Type: Organization
Address:
109 RHODE ISLAND RD
CLEAR POND OFFICES
LAKEVILLE, MA
ZIP 02347
Phone: (508) 923-6171
Get Directions

MOBILE MEDICAL RADIOGRAPHY AND EKG INC is a portable x ray and or other portable diagnostic imaging supplier in Lakeville, MA. The provider is 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. MOBILE MEDICAL RADIOGRAPHY AND EKG INC NPI is 1053302042. The provider is registered as an organization entity type.

The provider's business location address is:

109 RHODE ISLAND RD
CLEAR POND OFFICES
LAKEVILLE, MA
ZIP 02347-370
Phone: (508) 923-6171
Fax: (508) 923-6248

The provider's authorized official is Minda De Medeiros .
The authorized official title is Vp Of Administrative Services and has the following contact phone number (508) 923-6171.

The enumeration date for this NPI number is 10/31/2005 and was last updated on 12/13/2007.


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
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging Supplier08305MASSACHUSETTSYes

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
1209805OTHERMAINEMEDICARE PROVIDER NUMBER
21536591MEDICAIDMASSACHUSETTS
3229823MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSMEDICARE PROVIDER NUMBER

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.