DR MOBILE IMAGING LLC NPI 1851949291

NPI Details

DR MOBILE IMAGING, LLC is a portable x ray and or other portable diagnostic imaging supplier in Jackson, TN. 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. DR MOBILE IMAGING, LLC NPI is 1851949291. The provider is registered as an organization entity type.

The provider's business location address is:

23 WESTHAVEN PL
JACKSON, TN
ZIP 38305-758
Phone: (731) 803-1078
Fax: (731) 435-3385

The provider's authorized official is Davin Ray Modisette .
The authorized official title is Owner and has the following contact phone number (318) 475-0690.

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, 2 views (HCPCS:71046)
• X-ray of hip, 2-3 views (HCPCS:73502)
• 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 shoulder, minimum of 2 views (HCPCS:73030)
• X-ray of knee, 3 views (HCPCS:73562)
• X-ray of abdomen, 1 view (HCPCS:74018)
• X-ray of ankle, minimum of 3 views (HCPCS:73610)
• X-ray of chest, 1 view (HCPCS:71045)
• X-ray of middle spine, 3 views (HCPCS:72072)
• X-ray of wrist, minimum of 3 views (HCPCS:73110)
• X-ray of hand, minimum of 3 views (HCPCS:73130)
• X-ray of ribs on side of body, 2 views (HCPCS:71100)
• X-ray of knee, 1-2 views (HCPCS:73560)

The enumeration date for this NPI number is 8/29/2019 and was last updated on 12/28/2022.

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: