ELITE MOBILE DIAGNOSTIC SERVICES NPI 1063469260

NPI Information

  • NPI: 1063469260
  • Provider Name: ELITE MOBILE DIAGNOSTIC SERVICES
  • Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
  • Entity Type: Organization
  • Address: 1229 MONROE AVE
    DUNMORE, PA
    ZIP 18509
  • Phone: (800) 789-7082

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NPI Details

ELITE MOBILE DIAGNOSTIC SERVICES is a portable x ray and or other portable diagnostic imaging supplier in Dunmore, PA. 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. ELITE MOBILE DIAGNOSTIC SERVICES NPI is 1063469260. The provider is registered as an organization entity type.

The provider's business location address is:

1229 MONROE AVE
DUNMORE, PA
ZIP 18509-807
Phone: (800) 789-7082
Fax: (800) 789-7082

The provider's authorized official is Paul Woelkers .
The authorized official title is President and has the following contact phone number (570) 346-5115.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 10/30/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15198015MEDICARE PINWEST VIRGINIA
2P00137989OTHERWEST VIRGINIARAILROAD MEDICARE
386000411MEDICAIDKENTUCKY
47002602MEDICARE PINKENTUCKY
5P00137998OTHERKENTUCKYRAILROAD MEDICARE
6P00137995OTHEROHIORAILROAD MEDICARE
75198016MEDICARE PINOHIO
82521177MEDICAIDOHIO
96802015000MEDICAIDWEST VIRGINIA

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: 11/21/2025

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