ON SITE RADIOGRAPHY, INC. (NPI# 1306829213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306829213 |
| Entity Type | Organization |
| Organization Name | ON SITE RADIOGRAPHY, INC. |
| Practice Address |
1804 June St Ne Albuquerque NM 87112-3146 |
| Practice Telephone | 5058439836 |
| Practice Fax Number | 5053329825 |
| Mailing Telephone | 5058439836 |
| Mailing Fax Number | 5053329825 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MAURO S NAVA (ADMINISTRATOR) |
| Authorized Official Telephone | 5058439836 |
| Authorized Official Credential | R.T. |
| 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 | 03006400007 | NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 01856278 | 05 | |
| NM | BCBS OF NM PROVIDER # | 00NM007G75 | 01 |
| Street Address |
1804 JUNE ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-3146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861052177 | April Montano | Radiologic Technologist | 1804 June St Ne, Albuquerque, NM 87112-3146 | 2019-06-18 |
| 1952608325 | On-site Ultrasound LLC | Clinic/Center | 1804 June St Ne, Albuquerque, NM 87112-3146 | 2011-02-22 |
| 1447553607 | Mauro S Nava | Radiologic Technologist | 1804 June St Ne, Albuquerque, NM 87112-3146 | 2010-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| 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 |
|---|---|---|---|---|
| 1174147706 | Radphysics Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5405 High Desert Pl Ne, Albuquerque, NM 87111-9238 | 2020-05-29 |
| 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 |
| 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 | 87112 |
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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.