{"npi":"1316083595","type":"NPI-2","status":"active","name":{"display":"Physician's Mobile X-Ray, Inc.","other":[],"organization_name":"PHYSICIAN'S MOBILE X-RAY, INC.","authorised_official":"Todd Gelbaugh"},"specialty":{"primary_taxonomy":"335V00000X","primary_taxonomy_description":"Portable X-ray and/or Other Portable Diagnostic Imaging Supplier","slug":"portable-x-ray-and-or-other-portable-diagnostic-imaging-supplier","schema_org_specialty":null,"all":[{"code":"335V00000X","description":"Portable X-ray and/or Other Portable Diagnostic Imaging Supplier","primary":true,"state":"PA","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"945 E PARK DR","city":"HARRISBURG","state":"PA","postal_code":"171112804","country_code":"US","street_2":"STE 102","phone":"7175614940","fax":"7175614999"},{"purpose":"MAILING","street_1":"6310 ALLENTOWN BLVD STE 102","city":"HARRISBURG","state":"PA","postal_code":"171122739","country_code":"US","phone":"7175614940","fax":"7175614999"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"1507996","state":"PA","issuer":"GATEWAY PA MEDICAID"},{"type_code":"01","label":"Other","value":"335685","state":"PA","issuer":"ADVANTRA"},{"type_code":"01","label":"Other","value":"000000094397","state":"PA","issuer":"UNISON HEALTH PLAN"},{"type_code":"01","label":"Other","value":"000399807","state":"PA","issuer":"HIGHMARK"},{"type_code":"01","label":"Other","value":"1507996","state":"PA","issuer":"GATEWAY MEDICARE ASSURED"},{"type_code":"01","label":"Other","value":"441630015","state":"PA","issuer":"UNITED HEALTHCARE RR MC"},{"type_code":"01","label":"Other","value":"000138896","state":"PA","issuer":"APWU"},{"type_code":"05","label":"Medicaid","value":"000859039","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"25-1352947","state":"PA","issuer":"CONTINENTAL GENERAL INS"},{"type_code":"01","label":"Other","value":"25-1352947","state":"PA","issuer":"UNITED HEALTHCARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20041020000030","type_code":"12-63","type_desc":"PART B SUPPLIER - PORTABLE X-RAY SUPPLIER","state":"PA","pac_id":"0143281550"}]},"enumeration_date":"2007-01-29","last_updated":"2023-02-20","_meta":{"source":"NPPES","snapshot_date":"2023-02-20","doc_url":"https://findmynpi.com/api"}}