# MOBILE MEDICAL IMAGING LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619158862
- **Authorized official:** MR. RUSSELL STEVEN JACOBUS RT(ARRT) (OWNER)
- **Authorized official phone:** (803) 917-2988

## Contact information

- **Practice address:** 1127 OLD RD, CHAPIN, SC 29036-8512
- **Practice address phone:** (803) 917-2988
- **Practice address fax:** (803) 781-0077
- **Mailing address:** 1127 OLD RD, CHAPIN, SC 29036-8512
- **Mailing address phone:** (803) 917-2988
- **Mailing address fax:** (803) 781-0077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 11/16/2007
- **Last updated:** 03/23/2016