NPI age
14 years
Enumerated 2011-10-12
● Active Type 2 · Organization
Independent Mobil Diagnostice Testing Facility
Independent Mobil Diagnostice Testing Facility is 1 of 278 preferred provider organization organizations in Texas.
Primary specialty
Preferred Provider Organization
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Maxon
Ed
Last NPPES update
2011-10-12
Source: monthly bulk 2026-05
How this organization compares
Across 278 active preferred provider organization providers in Texas.
NPI age
14 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 10% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-10Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
1661 Woodard Ave, Suite 110
Cleburne, TX 760337052
Mailing address
1661 Woodard Ave, Suite 110
Cleburne, TX 760337052
Authorized official
Edmond S Maxon, LBSW
Ed
📞 8174946875
Specialties
-
Preferred Provider Organization PrimaryA group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but...
-
Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesA residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.