# PATRIOT MOBILE IMAGING LLC

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

## Provider details

- **NPI number:** 1700245404
- **Authorized official:** CLLIFTON CHARLES WRIGHT (PRESIDENT/CEO)
- **Authorized official phone:** (469) 644-6727

## Contact information

- **Practice address:** 415 W WALL ST STE 612, MIDLAND, TX 79701-4449
- **Practice address phone:** (432) 789-1416
- **Practice address fax:** (888) 268-4505
- **Mailing address:** 415 W WALL ST STE 612, MIDLAND, TX 79701-4449
- **Mailing address phone:** (432) 789-1416
- **Mailing address fax:** (888) 268-4505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | MP0256 | TX | Yes |

## Other

- **Enumeration date:** 02/23/2016
- **Last updated:** 05/04/2026