Organization
PATRIOT MOBILE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLLIFTON CHARLES WRIGHT (PRESIDENT/CEO)
(469) 644-6727
Entity
Organization
Contact information
Practice address
415 W WALL ST STE 612, MIDLAND, TX 79701-4449
(432) 789-1416
(888) 268-4505
Mailing address
415 W WALL ST STE 612, MIDLAND, TX 79701-4449
(432) 789-1416
(888) 268-4505
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
MP0256
TX
Other
Enumeration date
02/23/2016
Last updated
05/04/2026
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