NPI Information

  • NPI: 1295895282
  • Provider Name: DIAGNOSTIC MOBILE X-RAY INC
  • Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
  • Entity Type: Organization
  • CLIA Number: 37D2031089
  • Address: 3173 N SOONER RD
    EDMOND, OK
    ZIP 73034
  • Phone: (405) 330-0055

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NPI Details

DIAGNOSTIC MOBILE X-RAY INC is a portable x ray and or other portable diagnostic imaging supplier in Edmond, OK. 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. DIAGNOSTIC MOBILE X-RAY INC NPI is 1295895282. The provider is registered as an organization entity type.

The provider's business location address is:

3173 N SOONER RD
EDMOND, OK
ZIP 73034-333
Phone: (405) 330-0055

The provider's authorized official is Elizabeth Borgert .
The authorized official title is Vice President and has the following contact phone number (405) 330-0055.

The CLIA number assigned to this NPI record is 37D2031089 - independent with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Set-up portable x-ray equipment (HCPCS:Q0092)
  • Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen (HCPCS:R0070)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Set-up portable x-ray equipment (HCPCS:Q0092)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen (HCPCS:R0070)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of both hips, minimum of 5 views (HCPCS:73523)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of sacrum and tailbone, minimum of 2 views (HCPCS:72220)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of heel, minimum of 2 views (HCPCS:73650)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of collar bone (HCPCS:73000)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of ribs on both sides of body, minimum of 4 views (HCPCS:71111)
  • X-ray of ankle, 2 views (HCPCS:73600)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of face bones, minimum of 3 views (HCPCS:70150)

The enumeration date for this NPI number is 12/11/2006 and was last updated on 5/20/2025.

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
1261QR0208XClinic/CenterRadiology, MobileNo
2335V00000XPortable 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
1100836690AMEDICAIDOKLAHOMA

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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