RADPHYSICS SERVICES LLC (NPI# 1174147706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174147706 |
| Entity Type | Organization |
| Organization Name | RADPHYSICS SERVICES LLC |
| Practice Address |
5405 High Desert Pl Ne Albuquerque NM 87111-9238 |
| Practice Telephone | 5055036215 |
| Mailing Telephone | 5055036215 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | MR. EDWARD BRUCE KLINE (CEO) |
| Authorized Official Telephone | 5055036215 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Street Address |
5405 HIGH DESERT PL NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-9238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
| 1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
| 1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
| 1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
| 1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
| 1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
| 1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in zip 87111 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003294240 | Colmed Medical Laboratories & Radiology | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3201 University Blvd Se Ste 201, Albuquerque, NM 87106-5634 | 2015-05-07 |
| 1407164064 | Kan-di-ki LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2501 Yale Blvd Se Ste 201, Albuquerque, NM 87106-4200 | 2010-09-16 |
| 1356388607 | Schryver Medical Sales and Marketing LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 514 Pope St Ne, Albuquerque, NM 87107-2235 | 2006-06-02 |
| 1730130410 | Transray Diagnostic, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 703 Osuna Rd Ne, Suite 3, Albuquerque, NM 87113-1391 | 2006-05-15 |
| 1306829213 | On Site Radiography, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1804 June St Ne, Albuquerque, NM 87112-3146 | 2005-11-23 |
| 1811510183 | Pdi Health Nm LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2020-05-21 |
| 1457698557 | Quality Medical Imaging of New Mexico Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6501 4th St Nw, Suite H 5, Albuquerque, NM 87107-5800 | 2013-01-09 |
| City | ALBUQUERQUE |
| Zip Code | 87111 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.