Organization
MOUNTAIN MOBILE DIAGNOSTICS, INC.
Active
Organization
MOUNTAIN MOBILE DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J B SPURLOCK R.T. (R) (PRESIDENT/OWNER)
(606) 487-9114
Entity
Organization
Contact information
Practice address
725 HARDBURLY RD, BULAN, KY 41722-8907
(606) 487-9114
(606) 487-9114
Mailing address
PO BOX 896, BULAN, KY 41722-0896
(606) 487-9114
(606) 487-9114
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
720142
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000073435
ANTHEM BC & BS
KY
01
—
155799
UMWA
KY
01
—
630001411
PALMETTO GBA, RRMC
KY
05
—
86089034
—
KY
Enumeration date
07/06/2006
Last updated
12/01/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up