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Mobile Medical Imaging LLC

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Chapin, SC · enumerated 2007 · authorized official Russell Jacobus, Owner.

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

National Provider Identifier

1619158862

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Registry record

Entity type Organization (Type 2)
Legal business name Mobile Medical Imaging LLC
Practice address 1127 Old Rd, Chapin, SC, 29036
Phone (803) 917-2988
Fax (803) 781-0077
Enumeration date Nov 16, 2007
Last updated in NPPES Mar 23, 2016

Taxonomy & classification

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

Authorized official

Name Russell Jacobus
Title Owner
Phone (803) 917-2988

Other identifiers

Identifier Type State Issuer
498018 Medicaid SC -
300005574 Other SC TRAVELERS MEDICARE RAILRO

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 a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Mobile Medical Imaging LLC?
Mobile Medical Imaging LLC is registered in NPPES as a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-03-23.