Organization
EXPRESS MOBILE DIAGNOSTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE BOSTARD (OWNER)
(877) 270-7474
Entity
Organization
Contact information
Practice address
4536 STATE ROUTE 136 STE 1, GREENSBURG, PA 15601-7918
(877) 602-2847
(877) 270-7474
Mailing address
4536 STATE ROUTE 136 STE 1, GREENSBURG, PA 15601-7918
(877) 602-2847
(877) 270-7474
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
08/20/2008
Last updated
06/17/2025
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