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Hannibal Mobile Diagnostics, LLC

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Hannibal, MO · enumerated 2006 · authorized official Brandon Selle, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417016114

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Registry record

Entity type Organization (Type 2)
Legal business name Hannibal Mobile Diagnostics, LLC
Practice address 2910 St. Mary'S Ave., Hannibal, MO, 63401
Phone (573) 221-7870
Fax (573) 221-9323
Enumeration date Dec 8, 2006
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Suppliers Primary

Authorized official

Name Brandon Selle
Title Administrator
Phone (573) 221-7870

Other identifiers

Identifier Type State Issuer
719255606 Medicaid MO -
P00126139 Other MO RAILROAD MEDICARE

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.

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Frequently asked questions

What is the NPI number for Hannibal Mobile Diagnostics, LLC?
The NPI for Hannibal Mobile Diagnostics, LLC is 1417016114, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Hannibal Mobile Diagnostics, LLC?
NPPES lists Brandon Selle (Administrator) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.