Provider Demographics
NPI:1396745071
Name:MOBILE RADIOLOGY SERVICES, INC.
Entity type:Organization
Organization Name:MOBILE RADIOLOGY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-926-1120
Mailing Address - Street 1:556 COUNTY ROAD 391
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-0619
Mailing Address - Country:US
Mailing Address - Phone:870-926-1120
Mailing Address - Fax:870-586-5702
Practice Address - Street 1:556 COUNTY ROAD 391
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-0619
Practice Address - Country:US
Practice Address - Phone:870-926-1120
Practice Address - Fax:870-586-5702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO260009834335V00000X
AR19816335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier