RUSSELL L. PALMER JR, R.T., B.S. (NPI# 1245295021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245295021 |
| Entity Type | Organization |
| Organization Name | RUSSELL L. PALMER JR, R.T., B.S. |
| Other Organization Name | ALLIANCE MOBILE X-RAY |
| Practice Address |
214 White Spar Rd Prescott AZ 86303-4236 |
| Mailing Address |
1045 Scott Dr Prescott AZ 86301-1731 |
| Practice Telephone | 9287779064 |
| Practice Fax Number | 9287779183 |
| Mailing Telephone | 9287779064 |
| Mailing Fax Number | 9287779183 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | MR. RUSSELL LEON PALMER JR. (OWNER) |
| Authorized Official Telephone | 9287779064 |
| Authorized Official Credential | R.T.,B.S. |
| 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 | CRT-5873 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAILROAD MEDICARE NUMBER | 630001733 | 01 |
| AZ | BLUECROSS/BLUESHIELD I.D. | 0722380 | 01 |
| Other Name | Type Code |
|---|---|
| Alliance Mobile X-ray | Doing Business As Name - Organization |
| Street Address |
214 WHITE SPAR RD |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86303-4236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851552459 | Russell Leon Palmer Jr. | Radiologic Technologist | 214 White Spar Rd, Prescott, AZ 86303-4236 | 2008-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
| 1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
| 1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
| 1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
| 1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
| 1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1457697989 | Kim K. Mcintyre | Counselor | 505 S. Cortez St., Prescott, AZ 86303 | 2013-01-03 |
| 1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
| 1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
| Find all providers in zip 86303 | ||||
| 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 |
|---|---|---|---|---|
| 1164767539 | Benjamin S Stehower | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 805 Whipple St, Ste A, Prescott, AZ 86301-1617 | 2012-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037255 | Sonography Solutions LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2311 Prairie Grass Dr, Sierra Vista, AZ 85635-7002 | 2020-09-15 |
| 1033683750 | Dmc Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 55 Lake Havasu Ave S Ste F142, Lake Havasu City, AZ 86403-0938 | 2019-01-15 |
| 1053813337 | Arizona Ultrasound Services, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5620 W Thunderbird Rd Ste C1, Glendale, AZ 85306-4639 | 2018-03-02 |
| 1487188025 | Select Consultants LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 745 E Raven Way, Gilbert, AZ 85297-1211 | 2017-04-19 |
| 1598219289 | Diagnostic Ultrasound Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3931 N Stockton Hill Rd Ste E, Kingman, AZ 86409-2426 | 2016-08-10 |
| 1659658169 | Radiexcel, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3060 S Nash Way, Chandler, AZ 85286-2482 | 2011-11-11 |
| 1194041988 | Arizona Mobile Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2655 W Guadalupe Rd Ste 31b, Mesa, AZ 85202-7245 | 2010-04-19 |
| 1851613764 | Kan-di-ki, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2538 E University Dr Ste F-220, Phoenix, AZ 85034-6917 | 2010-02-18 |
| 1952536609 | Team Motion X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7000 N 16th St # 120-459, Phoenix, AZ 85020-5547 | 2009-05-26 |
| 1396988200 | Portable Diagnostic Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5534 W Riviera Dr, Glendale, AZ 85304-2700 | 2009-04-08 |
| Find all providers with the same taxonomy | ||||
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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.