DAVID P JOHNSON (NPI# 1801842968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801842968 |
| Entity Type | Organization |
| Organization Name | DAVID P JOHNSON |
| Other Organization Name | JOHNSON PORTABLE XRAY SERVICE |
| Practice Address |
8198 Commerce Dr Ste A Loves Park IL 61111-5710 |
| Practice Telephone | 8155447120 |
| Practice Fax Number | 8158854271 |
| Mailing Telephone | (815) 544-7120 |
| Mailing Fax Number | 8158854271 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2017-08-09 |
| Authorized Official Name | MR. DAVID P JOHNSON (OWNER OPERATOR) |
| Authorized Official Telephone | 8155447120 |
| Authorized Official Credential | R.T.R. |
| 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 | 500498218 | IL | Suppliers |
| Other Name | Type Code |
|---|---|
| Johnson Portable Xray Service | Doing Business As Name - Organization |
| Street Address |
8198 COMMERCE DR STE A |
| City | LOVES PARK |
| State | IL |
| Zip Code | 61111-5710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316562788 | Salli Jacobsen | Technician | 6699 Torch Lite Tr, Loves Park, IL 61111 | 2020-06-11 |
| 1003476425 | Costco Wholesale Corporation | Pharmacy | 5000 Stadium Drive, Loves Park, IL 61111 | 2019-06-18 |
| 1427541077 | Ronit Golan | Physical Therapist | 4401 Peak Dr Ste 1, Loves Park, IL 61111 | 2018-06-08 |
| 1598049025 | Sara Debelak | Developmental Therapist | 7225 Golden Eagle Drive, Loves Park, IL 61111 | 2011-10-03 |
| 1083906382 | Gagandeep Goyal | Anesthesiology | 5504 N 2nd St, Loves Park, IL 61111 | 2011-05-05 |
| 1124354261 | Asap Transport, LLC | Taxi | 7117 Clinton Rd, Suite 4, Loves Park, IL 61111 | 2009-10-25 |
| 1235212275 | Roger H Hill | Optometrist | 4301 N Mulford Rd, Loves Park, IL 61111 | 2006-10-23 |
| 1831104546 | Pointcore, Inc. | Pharmacy | 9951 Rock Cut Crossing, Loves Park, IL 61111 | 2006-07-30 |
| 1629099627 | Lisa A. Breisch | Counselor | Harmony Center for Holistic Psychotherapy, 6625 N. 2nd Street, Loves Park, IL 61111 | 2006-07-22 |
| 1386670529 | Joseph L Digirolamo | Chiropractor | 116 East Riverside Blvd, Loves Park, IL 61111 | 2006-06-22 |
| Find all providers in zip 61111 | ||||
| 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 |
|---|---|---|---|---|
| 1467050849 | Starmed Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 222 E Wisconsin Ave Ste 2b, Lake Forest, IL 60045-1701 | 2020-10-16 |
| 1093313785 | Compuray Staffing | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 121 N Cross St Unit 346, Wheaton, IL 60187-5361 | 2020-10-14 |
| 1366050577 | Apex Portable X-ray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 S. 4th St., Unit C Suite 1, Dekalb, IL 60115-3705 | 2020-07-14 |
| 1821615063 | Xoom Diagnostics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3916 W Lunt Ave, Lincolnwood, IL 60712-2534 | 2020-07-04 |
| 1164059572 | Northshore Ultrasound Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 215 S Edward St, Mt Prospect, IL 60056-3415 | 2020-03-25 |
| 1689149882 | Biomedical Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2044 Madison Ave Ste 28, Granite City, IL 62040-4661 | 2018-10-04 |
| 1487151783 | Advanced Digital Mobile Xray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 109 N Main St Rm D, Toluca, IL 61369-9430 | 2018-04-12 |
| 1699282145 | Medical Imaging Specialist Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9944 S Roberts Rd Ste 106, Palos Hills, IL 60465-1555 | 2018-01-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1386166049 | Diagnostic Vascular Testing, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 94 Sapphire Pt, Morton, IL 61550-3608 | 2017-07-13 |
| Find all providers with the same taxonomy | ||||
| City | LOVES PARK |
| Zip Code | 61111 |
Please comment or provide details below to improve the information on DAVID P JOHNSON.
| 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.