Hannibal Mobile Diagnostics, LLC
Hannibal Mobile Diagnostics, LLC is a healthcare organization registered as Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Hannibal, MO, holding Type 2 (organization) NPI 1417016114 since 2006. The authorized official on file is Brandon Selle, Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417016114 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Hannibal Mobile Diagnostics, LLC |
| Practice address | 2910 ST. MARY'S AVE., Hannibal, MO, 63401 |
| Phone | 5732217870 |
| Fax | 5732219323 |
| Enumeration date | 2006-12-08 |
| Last updated in NPPES | 2022-07-21 |
Authorized official
| Name | Brandon Selle |
|---|---|
| Title | Administrator |
| Phone | 5732217870 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Primary | — | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 719255606 | Medicaid | MO | — |
| P00126139 | Other | MO | RAILROAD MEDICARE |
Copy-ready billing details
Provider: Hannibal Mobile Diagnostics, LLC NPI: 1417016114 Taxonomy: 335V00000X (Portable X-ray and/or Other Portable Diagnostic Imaging Supplier) Address: 2910 ST. MARY'S AVE., Hannibal, MO, 63401
Verify this record
Cross-check NPI 1417016114 against the authoritative CMS record: view Hannibal Mobile Diagnostics, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2022-07-21.