OrganizationActive
Mobile Diagnostic Services, Inc
NPI 1043320724 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Dunlap, IL
Provider details
- NPI number
- 1043320724
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Mindy Moore, Vice President(309) 689-0243
- License
- 335V00000X (IL)
Specialties & taxonomies
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierPrimary335V00000XLicense 335V00000X (IL)
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1719 W Woodside Dr
Dunlap, IL 61525-9572
Phone: (309) 689-0243
Fax: (309) 689-0205
Street-level locationGet directions
Mailing address
1719 W Woodside Dr
Dunlap, IL 61525-9572
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2012-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.