Healthcare Provider Details

I. General information

NPI: 1306323845
Provider Name (Legal Business Name): NATIONAL MOBILE X-RAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2018
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 DOMINION DR STE 112
MORRISVILLE NC
27560-7334
US

IV. Provider business mailing address

2121 LOHMANS CROSSING RD STE 504 PMB 454
LAKEWAY TX
78734-5288
US

V. Phone/Fax

Practice location:
  • Phone: 833-431-4675
  • Fax:
Mailing address:
  • Phone: 980-202-5227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: BRIDGET DUNBAR
Title or Position: COO
Credential:
Phone: 512-673-7552