# EXPRESS MOBILE DIAGNOSTIC SERVICES, LLC

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

## Provider details

- **NPI number:** 1801043922
- **Authorized official:** JAMIE BOSTARD (OWNER)
- **Authorized official phone:** (877) 270-7474

## Contact information

- **Practice address:** 4536 STATE ROUTE 136 STE 1, GREENSBURG, PA 15601-7918
- **Practice address phone:** (877) 602-2847
- **Practice address fax:** (877) 270-7474
- **Mailing address:** 4536 STATE ROUTE 136 STE 1, GREENSBURG, PA 15601-7918
- **Mailing address phone:** (877) 602-2847
- **Mailing address fax:** (877) 270-7474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246XS1301X | Sonography Specialist/Technologist Cardiovascular | — | NULL | — |
| 246XS1301X | Sonography Specialist/Technologist Cardiovascular | — | — | — |
| 2471S1302X | Sonography Radiologic Technologist | — | NULL | — |
| 2471S1302X | Sonography Radiologic Technologist | — | — | — |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | NULL | — |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | — | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 08/20/2008
- **Last updated:** 06/17/2025