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QUALITY MOBILE X-RAY INC NPI 1578658837


NPI Information

NPI: 1578658837
Provider Name: QUALITY MOBILE X-RAY INC
Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
Entity Type: Organization

CLIA Number: 34D2183383

Address:
3330 HEALY DR STE 100
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 245-0647
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QUALITY MOBILE X-RAY INC is a portable x ray and or other portable diagnostic imaging supplier in Winston Salem, NC. 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. QUALITY MOBILE X-RAY INC NPI is 1578658837. The provider is registered as an organization entity type.

The provider's business location address is:

3330 HEALY DR STE 100
WINSTON SALEM, NC
ZIP 27103-024
Phone: (336) 245-0647
Fax: (336) 245-0649

The provider's authorized official is Caleb Fort .
The authorized official title is Ceo and has the following contact phone number (336) 245-0647.

The CLIA number assigned to this NPI record is 34D2183383 - mobile lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 6/7/2017.


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
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging Supplier34X0009827NORTH CAROLINAYes

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
13409802MEDICAIDNORTH CAROLINA
2015GCOTHERNORTH CAROLINABCBS
3P00053144OTHERNORTH CAROLINAMEDICARE RAILROAD
42530308MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAMEDICARE

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.