PORTABLE IMAGING SERVICES, LLC (NPI# 1831364405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831364405 |
| Entity Type | Organization |
| Organization Name | PORTABLE IMAGING SERVICES, LLC |
| Practice Address |
2770 Yates Ave Bronx NY 10469-5331 |
| Practice Telephone | 9177219418 |
| Mailing Telephone | 9177219418 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-25 |
| Authorized Official Name | MR. KAVIAN O DONALDSON (RADIOLOGY TECHNOLOGIST/MANAGER) |
| Authorized Official Telephone | 19177219418 |
| Authorized Official Credential | RT(R) |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 051655 | NY | Suppliers |
| Y | 247100000X | Radiologic Technologist | 051655 | NY | Technologists, Technicians & Other Technical Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PORTABLE IMAGING SERVICES, LLC | 2915 Yates Ave, Bronx, NY 10469-5226 |
| Street Address |
2770 YATES AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10469-5331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1437705720 | Wafaa Khoury | Behavioral Analyst | Important Steps,inc, 2447 Eastchester Road, Bronx, NY 10469 | 2019-08-13 |
| 1033775432 | Sally Mendoza | Licensed Practical Nurse | 2506 Woodhul Ave, Bronx, NY 10469 | 2019-05-13 |
| 1215495221 | Fasilat Ibrahim | Registered Nurse | 1117 Adee St, Bronx, NY 10469 | 2019-03-08 |
| 1467922096 | Patience Marku Kitcher | Registered Nurse | 954 East 211 Street, Bronx, NY 10469 | 2018-11-27 |
| 1316422546 | Leon Anibal Guzman | Registered Nurse | 3230 Paulding Ave 1fl, New York, NY 10469 | 2018-10-03 |
| 1205328358 | Yesenia A. Arias | Case Manager/Care Coordinator | 1501 Astor Ave., Suite 1a, Bronx, NY 10469 | 2018-06-05 |
| 1720578719 | Kimberly Carrion Alicea | Psychologist | 2323 Eastchester Rd #27, Bronx, NY 10469 | 2018-05-15 |
| 1235627993 | Kayon Donaldson | Nurse Practitioner | 2904 Yates Ave, Bronx, NY 10469 | 2018-04-27 |
| 1699280404 | Joyce Wallace | Specialist | 2825-2 Ely Avenue, Bronx, NY 10469 | 2017-12-04 |
| Find all providers in zip 10469 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578013124 | Myrna I Hernandez | Radiologic Technologist | 920 Metcalf Ave, 20h, Bronx, NY 10473-4007 | 2016-10-06 |
| 1316123086 | New Imaging & Diagnostic Services, P.C. | Radiologic Technologist | 2400 Johnson Ave, 11 K, Bronx, NY 10463-6464 | 2008-01-12 |
| 1114475308 | Jean H Monfort | Radiologic Technologist | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2016-09-15 |
| 1053404111 | Sabal Thakur | Radiologic Technologist | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523648 | Anthony Russo | Radiologic Technologist | 163 Quarterdeck Pl, Rochester, NY 14612-1432 | 2020-06-18 |
| 1518414812 | Julia Price | Radiologic Technologist | 90 Riverwalk Way, Cohoes, NY 12047-3335 | 2016-09-02 |
| 1447620414 | Elzbieta Wojciechowska | Radiologic Technologist | 135 Spring Meadow Dr Apt 9, Buffalo, NY 14221-8437 | 2015-10-02 |
| 1912314220 | Michael Marchitte IIi | Radiologic Technologist | 32 N Ogden St, Buffalo, NY 14206-1429 | 2014-07-18 |
| 1902226319 | Kensington Radiology Group PC | Radiologic Technologist | 651b Coney Island Ave, Brooklyn, NY 11218-0000 | 2014-04-24 |
| 1063845683 | Precison Diagnostic Imaging Inc. | Radiologic Technologist | 278 Community Dr, Smithtown, NY 11787-3877 | 2013-08-19 |
| 1740580604 | 4220 Asscociates, PC | Radiologic Technologist | 2529 87th St, East Elmhurst, NY 11369-1020 | 2010-10-26 |
| 1932414471 | Suzanne Marciano | Radiologic Technologist | 3280 Sunrise Hwy, Suite 301, Wantagh, NY 11793-4024 | 2010-08-09 |
| 1134451883 | Ultraplus Group, Inc. | Radiologic Technologist | 2756 Gerritsen Ave, Brooklyn, NY 11229-5915 | 2010-02-05 |
| 1215266994 | Alysen Lin | Radiologic Technologist | 920 Jefferson St, Baldwin, NY 11510-4743 | 2009-12-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PORTABLE IMAGING SERVICES, LLC.
| 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.