Provider Demographics
NPI:1942471610
Name:MOBILE X-RAY IMAGING INC
Entity Type:Organization
Organization Name:MOBILE X-RAY IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:GELBAUGH
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:717-561-4940
Mailing Address - Street 1:945 E PARK DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-2804
Mailing Address - Country:US
Mailing Address - Phone:717-561-4940
Mailing Address - Fax:717-561-4999
Practice Address - Street 1:945 E PARK DR
Practice Address - Street 2:SUITE 102
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-2804
Practice Address - Country:US
Practice Address - Phone:717-561-4940
Practice Address - Fax:717-561-4999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA020861Medicare PIN