Provider Demographics
NPI:1518713346
Name:XR MOBILE LLC
Entity Type:Organization
Organization Name:XR MOBILE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKOPOULOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-655-8577
Mailing Address - Street 1:4508 BARNSTEAD DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-2113
Mailing Address - Country:US
Mailing Address - Phone:727-655-8577
Mailing Address - Fax:727-655-8577
Practice Address - Street 1:4508 BARNSTEAD DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-2113
Practice Address - Country:US
Practice Address - Phone:727-655-8577
Practice Address - Fax:727-655-8577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier