Pioneer Medical Portable Xray,llc
NPI 1619204203 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Petal, MS
Pioneer Medical Portable Xray,llc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier organization in Petal, MS (NPI 1619204203).
Provider details
- NPI number
- 1619204203
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Parent organization
- Pioneer Medical, Idtf
- Organization subpart
- Yes
- Authorized official
- Ted Crabtree, Owner(601) 550-4611
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2009-11-03
- Last updated
- 2009-11-10
Frequently asked questions
- What is Pioneer Medical Portable Xray,llc's NPI number?
- Pioneer Medical Portable Xray,llc's National Provider Identifier (NPI) is 1619204203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pioneer Medical Portable Xray,llc?
- Pioneer Medical Portable Xray,llc is classified in the NPPES registry as Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (Suppliers).
- Where is Pioneer Medical Portable Xray,llc located?
- Pioneer Medical Portable Xray,llc's practice location on file with NPPES is 100 Clarendon Ave, Petal, MS 39465-2636.
- What is Pioneer Medical Portable Xray,llc's phone number?
- The practice phone number listed in the NPPES registry for Pioneer Medical Portable Xray,llc is (601) 550-4611.
- Who is the authorized official for Pioneer Medical Portable Xray,llc?
- The authorized official listed on Pioneer Medical Portable Xray,llc's NPPES record is Ted Crabtree, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pioneer Medical Portable Xray,llc's NPI active?
- Yes — Pioneer Medical Portable Xray,llc's NPI (1619204203) is active in the NPPES registry as of the last update on 2009-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.