CLEARVIEW MOBILE IMAGING LLC (NPI# 1184686602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184686602 |
Entity Type | Organization |
Organization Name | CLEARVIEW MOBILE IMAGING LLC |
Practice Address |
11912 Elm St Suite 122 Omaha NE 68144-4387 |
Mailing Address |
306 S Belt Hwy Saint Joseph MO 64506-3418 |
Practice Telephone | 8162322727 |
Practice Fax Number | 8162322771 |
Mailing Telephone | 8162322727 |
Mailing Fax Number | 8162322771 |
Enumeration Date | 2006-04-03 |
Last Update Date | 2011-11-01 |
Authorized Official Name | MR. ZACHARY B EVANS (MEMBER) |
Authorized Official Telephone | 8162322727 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | MEDICARE | 099607 | 01 |
NE | MEDICAID | 10025190700 | 01 |
NE | MEDICAID | 100251900 | 01 |
IA | MEDICAID | 0586552 | 01 |
IA | MEDICARE | I14667 | 01 |
MO | MEDICAID | 717253009 | 01 |
RAILROAD MEDICARE | P00181866 | 01 |
Street Address |
11912 ELM ST SUITE 122 |
City | OMAHA |
State | NE |
Zip Code | 68144-4387 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164731790 | Michelle Lynn Mikuls | Physical Therapist | 11912 Elm St, Suite 106, Omaha, NE 68144-4443 | 2010-09-30 |
1033385208 | Julie Anne Cornish | Massage Therapist | 11912 Elm St, Ste. 101, Omaha, NE 68144-4443 | 2008-05-07 |
1386817138 | Hossam A El Refaie | Physical Therapist | 11912 Elm St, Suite 106, Omaha, NE 68144-4443 | 2008-04-11 |
1528257870 | Gretta Renee Crisman | Counselor | 11912 Elm St, Suite 122, Omaha, NE 68144-4443 | 2007-10-22 |
1639386352 | Yukari Matsuzaki | Counselor | 11912 Elm St, #117, Omaha, NE 68144-4443 | 2007-05-16 |
1902029952 | Deborah Sue Swenson | Counselor | 11912 Elm St, Suite 116, Omaha, NE 68144-4386 | 2007-04-10 |
1083739452 | Meera Dewan P C | Clinic/Center | 11912 Elm St, Suite 26, Omaha, NE 68144-4443 | 2007-03-21 |
1699809863 | Hites Enterprises Inc | Counselor | 11912 Elm St, Suite 122, Omaha, NE 68144-4387 | 2007-03-16 |
1689702276 | Able Therapy, Inc. | Counselor | 11912 Elm St, #117, Omaha, NE 68144-4443 | 2007-03-02 |
1710921283 | Amber Renee Bradley | Counselor | 11912 Elm St, #117, Omaha, NE 68144-4363 | 2006-06-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
Find all providers in zip 68144 |
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 |
---|---|---|---|---|
1841653524 | Sonotech Imaging, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 17330 W Center Rd Ste 110-315, Omaha, NE 68130-2392 | 2016-03-31 |
1427395086 | Premier Mobile Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 101 N 38th Ave, Omaha, NE 68131-2301 | 2013-01-15 |
1154560373 | Professional Portable Radiologic Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 14301 Fnb Pkwy, Suite 100/182, Omaha, NE 68154-7200 | 2009-02-11 |
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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.