ALLEGIANCE MEDICAL X-RAY LLC


Address: 2331 Hampton Ave, Saint Louis, MO 63139-2908
Phone: 3147721441

ALLEGIANCE MEDICAL X-RAY LLC (NPI# 1205159761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205159761
Entity Type Organization
Organization Name ALLEGIANCE MEDICAL X-RAY LLC
Practice Address 2331 Hampton Ave
Saint Louis
MO 63139-2908
Mailing Address 2331 Hampton Ave
St Louis
MO 63139
Practice Telephone 3147721441
Practice Fax Number 3147720600
Mailing Telephone 3147721441
Mailing Fax Number 3147720600
Enumeration Date 2010-03-11
Last Update Date 2010-03-11
Authorized Official Name MR. TONY B CAMILLO (MANAGING PARTNER)
Authorized Official Telephone 3147721441
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier MO Suppliers

Office Location

Street Address 2331 HAMPTON AVE
City SAINT LOUIS
State MO
Zip Code 63139-2908

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528046489 National Medical Information Svcs Family Medicine 2331 Hampton Ave, Saint Louis, MO 63139-2908 2006-01-02
1639442718 Mo Health LLC General Practice 2331 Hampton Ave, Saint Louis, MO 63139-2908 2012-02-20
1255602751 National Medical Inc Family Medicine 2331 Hampton Ave, Saint Louis, MO 63139-2908 2012-01-16
1023342391 Allegiance Medical Services Clinical Medical Laboratory 2331 Hampton Ave, Lower Level, Saint Louis, MO 63139-2908 2009-09-19
1487857090 Dng Pharmaceuticals Pharmacy 2331 Hampton Ave, Saint Louis, MO 63139-2908 2007-06-10
1548487671 Back To Life Wellness Center, Inc. Clinic/Center 2331 Hampton Ave, Saint Louis, MO 63139-2908 2007-04-19
1346228202 On Call Physicians, LLC Emergency Medicine 2331 Hampton Ave, Saint Louis, MO 63139-2908 2006-01-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174160337 Dawn Martina Clark Social Worker 1150 Graham Road, St. Louis, MO 63139 2019-12-06
1013479716 Cerner Health Connections, Inc. Pharmacy 1403 Hampton Avenue, St. Louis, MO 63139 2019-04-02
1447699335 Beth Renee Groenke Dentist 1403 Hampton Ave, St. Louis, MO 63139 2013-06-24
1295866648 Occupational Health Centers of Kansas Pa Clinic/Center 6726 Manchester Road, St. Louis, MO 63139 2007-03-08
1912069733 Daniel G Armbruster Dc PC Acupuncturist 2730 Watson Rd, St Louis, MO 63139 2006-12-15
1831250125 Kathia Denise Betts Counselor 3309 S. Kingshighway Blvd., St.louis, MO 63139 2006-12-12
1841350220 Denzel Dean Jines II Dentist 2340 Hampton Avenue, Suite 3, St. Louis, MO 63139 2006-12-08
1285718163 Rakhshanda Hassan Psychiatry & Neurology St Louis Psychiatric Rehabilitation Center, 5300 Arsenal, St Louis, MO 63139 2006-10-25
1952490682 City of St. Louis Ambulance 2634 Hampton Avenue, City of St Louis Emergency Medical Services, St Louis, MO 63139 2006-10-12
1104917434 Select Physical Therapy Holdings Inc Clinic/Center 1900 South Hampton, St Louis, MO 63139 2006-09-28
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Taxonomy Information

Taxonomy Code 335V00000X
Grouping Suppliers
Classification Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629453089 Schryver Medical Sales and Marketing, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 100 S 4th St, Suite 550, Saint Louis, MO 63102-1800 2015-07-28
1366723173 Vpa PC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 8710 Manchester Rd, Saint Louis, MO 63144-2724 2011-09-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952946378 Mjm Diagnostics LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 1301 Oak St Ste 713, Kansas City, MO 64106-2913 2019-11-08
1861986176 Biomedical Imaging LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 3450 Bridgeland Dr Ste F, Bridgeton, MO 63044-2605 2018-06-20
1508225715 Missouri Diagnostic Services, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 1517 Copper Rd, Holts Summit, MO 65043-2033 2016-02-16
1891125142 Midwest Mobile Imaging Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 408 Washington Ave Ste 107, West Plains, MO 65775-3404 2013-11-23
1265786305 Prowave Diagnostics LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 238 Peach Ln, Ridgedale, MO 65739-4182 2012-10-27
1720239767 American Mobile X-ray, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 221 Adair Road, Branson, MO 65615-7865 2008-10-08
1528214913 Innovative Mobile Services LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 202 Miller Way, Monett, MO 65708-8336 2008-08-18
1790959773 Digital X Mobile, Inc. Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 13 Cedar Crest Dr, Fenton, MO 63026-5041 2008-04-21
1376749812 Mobile X-ray Services LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 3050 N 20th St, Ozark, MO 65721-5925 2007-06-22
1720106958 Gateway Sonographics, Inc. Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 1115 James Dr, Imperial, MO 63052-2343 2007-03-26
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Competitor

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City SAINT LOUIS
Zip Code 63139

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Dataset Information

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.

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