MOBILE X-RAY SERVICES NPI 1396079760

NPI Information

NPI: 1396079760
Provider Name: MOBILE X-RAY SERVICES

Doing Business As: KOSMA MOBILE X-RAY

Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
1208 EAGLECREST ST
SUITE E
NIXA, MO
ZIP 65714
Phone: (417) 863-9729
Get Directions

MOBILE X-RAY SERVICES is a radiology and mobile clinic center in Nixa, MO. MOBILE X-RAY SERVICES NPI is 1396079760. The provider is registered as an organization entity type.
The provider Is Doing Business As Kosma Mobile X-ray.

The provider's business location address is:

1208 EAGLECREST ST
SUITE E
NIXA, MO
ZIP 65714-458
Phone: (417) 863-9729
Fax: (417) 863-0720

The provider's authorized official is James Patrick Berrigan .
The authorized official title is Owner and has the following contact phone number (913) 558-9396.

The enumeration date for this NPI number is 10/1/2009 and was last updated on 10/1/2009.

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
1	261QR0208X	Clinic/Center	Radiology, Mobile	000040114	MISSOURI	Yes

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
1	000040114	MEDICARE PIN	MISSOURI
2	GMDM6455-R001	MEDICAID	MISSOURI

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: 5/5/2024

NPI Synchronization or Removal

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