Organization
PHYSICIAN'S MOBILE X-RAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD GELBAUGH (CEO)
(717) 561-4940
Entity
Organization
Contact information
Practice address
945 E PARK DR, STE 102, HARRISBURG, PA 17111-2804
(717) 561-4940
(717) 561-4999
Mailing address
6310 ALLENTOWN BLVD STE 102, HARRISBURG, PA 17112-2739
(717) 561-4940
(717) 561-4999
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000094397
UNISON HEALTH PLAN
PA
01
—
000138896
APWU
PA
01
—
000399807
HIGHMARK
PA
05
—
000859039
—
PA
01
—
1507996
GATEWAY PA MEDICAID
PA
01
—
25-1352947
CONTINENTAL GENERAL INS
PA
01
—
335685
ADVANTRA
PA
01
—
441630015
UNITED HEALTHCARE RR MC
PA
Enumeration date
01/29/2007
Last updated
02/20/2023
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