MEDICARE: URGENT MOBILE RADIOLOGY AND LAB LLC

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	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

General Provider Information

NPI Number	:	1932059557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENT MOBILE RADIOLOGY AND LAB LLC

Provider Business Mailing Address
First Line	:	1387 GEORGE DIETER DR STE D-105
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-7410
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1387 GEORGE DIETER DR STE D-105
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-7410
Country	:	US
Telephone Number	:	915-268-8321
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	RAFAEL RODRIGUEZ
Credential	:
Telephone Number	:	915-268-8321

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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