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Contact Information

MANTRO MOBILE IMAGING LLC
8778 S MARYLAND PKWY
SUITE 105
LAS VEGAS, NV89123-6704
 Phone: 702-896-0473
 Fax: 702-586-0528
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiography Radiologic Technologist

2471C3402X
 

Radiology, Mobile

261QR0208X 45 Mammography Center
Indicates primary specialty

NPI Profile & details for MANTRO MOBILE IMAGING LLC

NPI Number 1285789370
LBN Legal business name MANTRO MOBILE IMAGING LLC
Authorized official JOHN MISSIG - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/25/2007
Last updated 05/23/2025 - More than a year ago
Identifiers
NV License # 2000422.320
NV Medicaid 29X0009810
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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