MEDICARE: TRUE LIGHT MOBILE RADIOGRAPHY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0208X	Mobile Radiology Clinic/Center
2	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

General Provider Information

NPI Number	:	1578498408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUE LIGHT MOBILE RADIOGRAPHY

Provider Business Mailing Address
First Line	:	421 COUNTY ROUTE 515
Second Line	:
City	:	VERNON
State	:	NJ
Zip	:	07462-3002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	421 COUNTY ROUTE 515
Second Line	:
City	:	VERNON
State	:	NJ
Zip	:	07462-3002
Country	:	US
Telephone Number	:	973-905-3822
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHANIE LILIANA RODRIGUEZ
Credential	:
Telephone Number	:	973-905-3822

Provider Enumeration Date	:	06/13/2026
Last Update Date	:	06/13/2026

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Directions to “TRUE LIGHT MOBILE RADIOGRAPHY ” Practice Location

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