PIONEER MEDICAL PORTABLE XRAY,LLC
NPI 1619204203
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Petal, MS

Q: What is Pioneer Medical Portable Xray,llc's NPI number?

The NPI number for Pioneer Medical Portable Xray,llc is 1619204203. It was assigned to this organization in the NPPES registry on November 3, 2009.

Q: What is Pioneer Medical Portable Xray,llc's specialty?

The primary specialty registered for this NPI is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

Active since November 03, 2009

100 CLARENDON AVE, PETAL, MS 39465(601) 550-4611(601) 510-9449 Get Directions Write a Review

NPPES record last updated: November 10, 2009. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Pioneer Medical Portable Xray,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PIONEER MEDICAL PORTABLE XRAY,LLC (NPI 1619204203) is a healthcare organization registered as a portable x-ray and/or other portable diagnostic imaging supplier in Petal, Mississippi and active in the NPI registry since November 2009. The organization lists Ted H Crabtree, Owner, as its authorized official.

NPPES Registry Identity

NPI1619204203

Entity TypeOrganization

Primary Taxonomy335V00000X

Legal Business NamePIONEER MEDICAL PORTABLE XRAY,LLC

Location Address100 CLARENDON AVEPetal, MS 39465-2636

Mailing Address100 Clarendon AvePetal, MS 39465-2636 · (601) 550-4611 · Fax (601) 510-9449

Phone(601) 550-4611

Fax(601) 510-9449

Organization SubpartYesParent: Pioneer Medical, Idtf

Authorized OfficialTed H CrabtreeOwner · (601) 550-4611

Enumeration DateNovember 3, 2009

Last NPPES UpdateNovember 10, 2009

✔ NPI 1619204203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPortable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers

Taxonomy Code335V00000X

Definition

A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

100 CLARENDON AVE, Petal, MS 39465

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PIONEER MEDICAL, LLC

Clinic/Center (Radiology, Mobile)

100 CLARENDON AVE
PETAL, MS 39465

Forrest County (866) 951-9727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pioneer Medical Portable Xray,llc's NPI number?

The NPI number for Pioneer Medical Portable Xray,llc is 1619204203. It was assigned to this organization in the NPPES registry on November 3, 2009.

Where is Pioneer Medical Portable Xray,llc located?

Pioneer Medical Portable Xray,llc is located at 100 Clarendon Ave, Petal, MS 39465. The listed phone number is (601) 550-4611.

What is Pioneer Medical Portable Xray,llc's specialty?

The primary specialty registered for this NPI is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

When was this NPI record last updated?

The NPPES record for Pioneer Medical Portable Xray,llc was last updated on November 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.