PORTABLE MEDICAL RESOURCES LTD (NPI# 1619368834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619368834 |
| Entity Type | Organization |
| Organization Name | PORTABLE MEDICAL RESOURCES LTD |
| Practice Address |
129 Phelps Ave Suite 406 Rockford IL 61108-2453 |
| Practice Telephone | 8153975554 |
| Practice Fax Number | 8155500061 |
| Mailing Telephone | 8153975554 |
| Mailing Fax Number | 8155500061 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |
| Authorized Official Name | DR. MARTIN URBAN (PRESIDENT) |
| Authorized Official Telephone | 8153975554 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers | ||
| Y | 246XC2903X |
Spec/Tech, Cardiovascular Specialization: Vascular Specialist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
129 PHELPS AVE SUITE 406 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-2453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245239284 | Gary D Rifkin | Specialist | 129 Phelps Ave, Suite 508, Rockford, IL 61108-2453 | 2005-07-20 |
| 1760931356 | Kathleen Marie O'dierno | Social Worker | 129 Phelps Ave, Building 8, Suite 825, Rockford, IL 61108-2453 | 2016-09-24 |
| 1235506486 | Milos Dental Care | Dentist | 129 Phelps Ave, Suite 307, Rockford, IL 61108-2453 | 2015-08-24 |
| 1245616929 | Virtual Cardiology, LLC | Internal Medicine | 129 Phelps Ave, Suite 406, Rockford, IL 61108-2453 | 2015-08-05 |
| 1861836835 | Camelot Imaging Solutions, Ltd | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 129 Phelps Ave, Suite 213, Rockford, IL 61108-2453 | 2013-04-22 |
| 1104190503 | Patrick B. Whitaker, D.c., P.C. | Chiropractor | 129 Phelps Ave, Suite 316, Rockford, IL 61108-2453 | 2012-03-02 |
| 1396071932 | Andrea L Reynolds | Massage Therapist | 129 Phelps Ave, Rockford, IL 61108-2453 | 2009-11-01 |
| 1225153273 | Bonnie Blakeley | Counselor | 129 Phelps Ave, Suite 204, Rockford, IL 61108-2453 | 2007-03-20 |
| 1598889537 | Sadie Foster | Counselor | 129 Phelps Ave, Suite 910, Rockford, IL 61108-2453 | 2007-03-16 |
| 1649337783 | Sandra Lynn Williams | Social Worker | 129 Phelps Ave, Suite 907, Rockford, IL 61108-2453 | 2007-01-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| Taxonomy Code | 246XC2903X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Vascular Specialist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316085830 | Preferred Vascular Diagnostics Inc. | Spec/Tech, Cardiovascular | 15 S. Dryden Pl, Arlington Heights, IL 60004-6369 | 2007-02-05 |
| 1841218740 | In Home Diagnostics, LLC | Spec/Tech, Cardiovascular | 3319 N. Elston Ave., Suite 116, Chicago, IL 60618-5811 | 2006-07-18 |
| 1083095293 | Richard Felicelda | Spec/Tech, Cardiovascular | 3510 W 79th St, Suite 4, Chicago, IL 60652-1430 | 2015-06-12 |
| 1134157142 | Kenneth M Langworthy | Spec/Tech, Cardiovascular | 15 S Dryden Pl, Arlington Heights, IL 60004-6369 | 2006-06-29 |
| 1427013390 | Vascular Diagnostics, Ltd | Spec/Tech, Cardiovascular | 1600 Dempster St, Suite 105, Park Ridge, IL 60068-1109 | 2006-04-20 |
Please comment or provide details below to improve the information on PORTABLE MEDICAL RESOURCES LTD.
| 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.