MOUNTAIN MOBILE DIAGNOSTICS INC. NPI 1306878996

NPI Information

  • NPI: 1306878996
  • Provider Name: MOUNTAIN MOBILE DIAGNOSTICS, INC.
  • Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
  • Entity Type: Organization
  • Address: 725 HARDBURLY RD
    BULAN, KY
    ZIP 41722
  • Phone: (606) 487-9114

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NPI Details

MOUNTAIN MOBILE DIAGNOSTICS, INC. is a portable x ray and or other portable diagnostic imaging supplier in Bulan, KY. 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. MOUNTAIN MOBILE DIAGNOSTICS, INC. NPI is 1306878996. The provider is registered as an organization entity type.

The provider's business location address is:

725 HARDBURLY RD
BULAN, KY
ZIP 41722-907
Phone: (606) 487-9114
Fax: (606) 487-9114

The provider's authorized official is J B Spurlock .
The authorized official title is President/owner and has the following contact phone number (606) 487-9114.

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, more than one patient seen (HCPCS:R0075)
  • X-ray of chest, 1 view (HCPCS:71045)
  • 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 abdomen, 1 view (HCPCS:74018)

The enumeration date for this NPI number is 7/6/2006 and was last updated on 12/1/2015.

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 Supplier720142KENTUCKYYes

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
17001901MEDICARE PINKENTUCKY
2155799OTHERKENTUCKYUMWA
3630001411OTHERKENTUCKYPALMETTO GBA, RRMC
4000000073435OTHERKENTUCKYANTHEM BC & BS
586089034MEDICAIDKENTUCKY

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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