ONSITE MEDICAL IMAGING MINK, LLC (NPI# 1538300876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538300876 |
| Entity Type | Organization |
| Organization Name | ONSITE MEDICAL IMAGING MINK, LLC |
| Practice Address |
11700-3 Mercy Blvd Suite B - Rtr Med Savannah GA 31419 |
| Mailing Address |
Po Box 61328 Savannah GA 31420-1328 |
| Practice Telephone | 9122285469 |
| Practice Fax Number | 8662837925 |
| Mailing Telephone | 9122285469 |
| Mailing Fax Number | 8662837925 |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2012-05-29 |
| Authorized Official Name | MR. JAMEEL RIZK (COO) |
| Authorized Official Telephone | 9122285469 |
| 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 | Suppliers |
| Street Address |
11700-3 MERCY BLVD SUITE B - RTR MED |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083828024 | Rtr Medical Group LLC | Dermatology | 11700-3 Mercy Blvd, Savannah, GA 31419 | 2007-05-09 |
| 1588840276 | Onsite Medical Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11700-3 Mercy Blvd, Suite B, Savannah, GA 31419 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| 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 |
|---|---|---|---|---|
| 1396106597 | Savannah Imaging Anesthesia and Sleep Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 836 E 65th St, 9a Medical Arts Center, Savannah, GA 31405-4434 | 2016-03-15 |
| 1730433715 | Med Test Usa Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 132 Stephenson Ave, Savannah, GA 31406-5829 | 2012-10-30 |
| 1588840276 | Onsite Medical Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11700-3 Mercy Blvd, Suite B, Savannah, GA 31419 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982185237 | Guillaume J Pinguet | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4760 Austell Rd Ste A, Austell, GA 30106-2007 | 2018-08-24 |
| 1790288587 | Acc3 International, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3340 Peachtree Rd Ne Ste 2025, Atlanta, GA 30326-1084 | 2018-03-17 |
| 1053858761 | Mobile Medical Imaging of Coastal Georgia, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5906 Hwy 21 S, Unit 4, Springfield, GA 31326-5505 | 2017-01-20 |
| 1013392315 | Schryver Medical Sales and Marketing, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3500 Lenox Rd Ne, Suite 1500, Atlanta, GA 30326-4228 | 2015-07-28 |
| 1144609876 | Optimus Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 252 Holt Ave, Macon, GA 31201-1227 | 2015-05-27 |
| 1215316435 | Jlm X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1015 Canton Street, Roswell, GA 30075 | 2015-05-20 |
| 1023410842 | The Pink Ribbon Mammography and Diagnostic Radiology Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 33 Darbys Ave, Hiram, GA 30141-4143 | 2014-09-24 |
| 1477826493 | Mobile Physician Services, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1171 Laurel Pointe, Bogart, GA 30622-2859 | 2012-02-22 |
| 1306140215 | Avery Partners, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1455 Old Alabama Rd Ste 160, Roswell, GA 30076-2167 | 2011-01-06 |
| 1700190105 | Source Diagnostics of Georgia, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5559 Thomaston Rd, Macon, GA 31220-8120 | 2010-07-28 |
| 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.