PORTABLE XRAY OF ARIZONA TUCSON (NPI# 1487637773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487637773 |
Entity Type | Organization |
Organization Name | PORTABLE XRAY OF ARIZONA TUCSON |
Practice Address |
1020 N Country Club Rd Tucson AZ 85716-4239 |
Practice Telephone | 5203228111 |
Practice Fax Number | 5203229988 |
Mailing Telephone | 5203228111 |
Mailing Fax Number | 5203229988 |
Enumeration Date | 2005-11-21 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. ROBBIE D WILLIAMS (DIRECTOR CORPORATE SUPPORT) |
Authorized Official Telephone | 7029396559 |
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 | 0133882 | AZ | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 579055 | 05 |
Street Address |
1020 N COUNTRY CLUB RD |
City | TUCSON |
State | AZ |
Zip Code | 85716-4239 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205158110 | Kan-di-ki LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1020 N Country Club Rd, Tucson, AZ 85716-4239 | 2010-02-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063065043 | Kristi Watson Mdpc | Clinic/Center | Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 | 2019-07-19 |
1639731326 | Leigh-anne Andre | Social Worker | 1135 N. Jones Blvd, Tucson, AZ 85716 | 2019-07-02 |
1053802462 | Thomas Scott Mcvean | Technician, Pathology | 718 N Richey Blvd, Tucson, AZ 85716 | 2018-05-21 |
1063923787 | Intermountain Health Center, Inc. | Clinic/Center | 3815 E. Monte Vista, Apt. 1101, Tuscon, AZ 85716 | 2017-10-20 |
1992224729 | Rocio Fonseca | Counselor | 1014 N Country Club, Tucson, AZ 85716 | 2017-09-13 |
1548784473 | Adrian Linda Fait | Speech-Language Pathologist | Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 | 2017-08-02 |
1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
1396114211 | Craig Stark | Internal Medicine | 2978 E Greenlee St, Tucson, AZ 85716 | 2015-09-21 |
1598142283 | Layla Carol Bradley | Nurse Practitioner | 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 | 2015-05-01 |
1134547813 | Maeve Shaughnessy | Counselor | 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 | 2014-03-31 |
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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 |
---|---|---|---|---|
1942755012 | Sunsono | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7012 E Nelson Dr, Tucson, AZ 85730-1718 | 2016-08-18 |
1205158110 | Kan-di-ki LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1020 N Country Club Rd, Tucson, AZ 85716-4239 | 2010-02-18 |
1326108515 | Rapid Ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7220 E Rosewood St, Tucson, AZ 85710-1350 | 2006-12-11 |
1851451041 | Rapidsound Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7220 E Rosewood St, Tucson, AZ 85710-1350 | 2006-12-11 |
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 |
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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.