NORTHWEST MOBILE IMAGING, LLC (NPI# 1932156981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932156981 |
| Entity Type | Organization |
| Organization Name | NORTHWEST MOBILE IMAGING, LLC |
| Practice Address |
6140 Sw Arctic Dr Beaverton OR 97005-9448 |
| Mailing Address |
Po Box 66500 Portland OR 97290 |
| Practice Telephone | 5036467777 |
| Mailing Telephone | 5036578663 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-11-15 |
| Authorized Official Name | MR. DARREN GLASSMAN (PRESIDENT) |
| Authorized Official Telephone | 5036467777 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | NPI NUMBER | 1932156981 | 01 |
| ID | NPI NUMBER | 1932156981 | 01 |
| WA | 7125305 | 05 | |
| MEDICARE RAILROAD | P00219865 | 01 | |
| WA | MEDICAID TECH ONLY | 7131568 | 01 |
| WA | NPI NUMBER | 1932156981 | 01 |
| Street Address |
6140 SW ARCTIC DR |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-9448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417903279 | Ultrasound Northwest of Washington LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6140 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2006-05-25 |
| 1750611141 | Nw Mobile Radiology | Clinic/Center | 6140 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2010-01-06 |
| 1568419620 | Northwest Mobile Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6140 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2006-05-27 |
| 1396792123 | Ultrasound Northwest of Oregon LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6140 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| 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 |
|---|---|---|---|---|
| 1417903279 | Ultrasound Northwest of Washington LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6140 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2006-05-25 |
| 1568419620 | Northwest Mobile Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6140 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2006-05-27 |
| 1396792123 | Ultrasound Northwest of Oregon LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6140 Sw Arctic Dr, Beaverton, OR 97005-9448 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528685591 | Exiges Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 25115 Sw Parkway Ave Ste B, Wilsonville, OR 97070-8891 | 2020-06-25 |
| 1639694300 | Kevin Michel | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 73142 Purchase Ln, Pendleton, OR 97801-9151 | 2017-08-03 |
| 1225232408 | Schryver Medical Sales and Marketing, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 17744 Ne San Rafael St, Gresham, OR 97230-5927 | 2007-06-12 |
| 1467079434 | Exiges Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 25115 Sw Parkway Ave Ste B, Wilsonville, OR 97070-8891 | 2020-06-25 |
| 1902143548 | Quality Medical Imaging of Oregon Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2505 Portland Rd, Suite 202c, Newberg, OR 97132 | 2013-01-15 |
| 1437496171 | Quality Medical Imaging of Oregon Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2505 Portland Rd, Suite 202c, Newberg, OR 97132 | 2013-01-15 |
| 1841514395 | Kan-di-ki, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 17744 Ne San Rafael St, Portland, OR 97230-5927 | 2010-03-25 |
| 1396790499 | Cascade Medical Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1460 Ne Medical Center Dr, Bend, OR 97701-6061 | 2006-05-24 |
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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.