Lackawanna Mobile X-Ray, Inc.
NPI 1063607893 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Dunmore, PA
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lackawanna Mobile X-Ray, Inc. is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier organization in Dunmore, PA (NPI 1063607893).
Provider details
- NPI number
- 1063607893
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Paul Woelkers, President(570) 346-5115
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
3,115 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Ultrasound Study of Arm Or Leg Veins With Compression and Maneuvers93970 | 830 | $82 |
| Ultrasound Study of One Arm Or Leg Veins With Compression and Maneuvers93971 | 705 | $81 |
| Ultrasound of Leg Arteries Or Artery Grafts93925 | 209 | $160 |
| Complete Ultrasound Scan of Abdomen76700 | 183 | $90 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 176 | $171 |
| Limited Ultrasound Scan Behind Abdominal Cavity76775 | 167 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-09-14
- Last updated
- 2008-05-09
Frequently asked questions
- What is Lackawanna Mobile X-Ray, Inc.'s NPI number?
- Lackawanna Mobile X-Ray, Inc.'s National Provider Identifier (NPI) is 1063607893, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lackawanna Mobile X-Ray, Inc.?
- Lackawanna Mobile X-Ray, Inc. is classified in the NPPES registry as Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (Suppliers).
- Where is Lackawanna Mobile X-Ray, Inc. located?
- Lackawanna Mobile X-Ray, Inc.'s practice location on file with NPPES is 1229 Monroe Ave, Dunmore, PA 18509-2807.
- What is Lackawanna Mobile X-Ray, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Lackawanna Mobile X-Ray, Inc. is (800) 789-7082.
- Does Lackawanna Mobile X-Ray, Inc. accept Medicare?
- Lackawanna Mobile X-Ray, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lackawanna Mobile X-Ray, Inc.?
- The authorized official listed on Lackawanna Mobile X-Ray, Inc.'s NPPES record is Paul Woelkers, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lackawanna Mobile X-Ray, Inc.'s NPI active?
- Yes — Lackawanna Mobile X-Ray, Inc.'s NPI (1063607893) is active in the NPPES registry as of the last update on 2008-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.