NORTH STAR MOBILE X-RAY LLC (NPI# 1215499553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215499553 |
| Entity Type | Organization |
| Organization Name | NORTH STAR MOBILE X-RAY LLC |
| Practice Address |
6300 Shingle Creek Pkwy Ste 135 Minneapolis MN 55430-2124 |
| Mailing Address |
12 Spencer St Brooklyn NY 11205-1891 |
| Practice Telephone | 8007499729 |
| Mailing Telephone | 8007499729 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |
| Authorized Official Name | MARK TAUBER (CEO) |
| Authorized Official Telephone | 8007499729 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922560267 | North Star Mobile X-ray LLC | Clinic/Center | 6300 Shingle Creek Pkwy Ste 135, Minneapolis, MN 55430-2124 | 2019-04-04 |
| Street Address |
6300 SHINGLE CREEK PKWY STE 135 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55430-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922560267 | North Star Mobile X-ray LLC | Clinic/Center | 6300 Shingle Creek Pkwy Ste 135, Minneapolis, MN 55430-2124 | 2019-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
| 1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
| 1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
| 1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
| 1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
| 1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
| 1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| Find all providers in zip 55430 | ||||
| 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 |
|---|---|---|---|---|
| 1881038263 | Health Diagnostics Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22841 Zion Pkwy Nw, Bethel, MN 55005-9315 | 2013-04-29 |
| 1750533469 | Premier Diagnostic Imaging, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 12800 Highway 55, Plymouth, MN 55441-3840 | 2008-10-14 |
| 1073560157 | Professional Portable Radiologic Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 755 Cliff Rd E, Burnsville, MN 55337-1545 | 2006-05-27 |
| 1801130158 | Minnesota Medical Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 715 Florida Ave S, Suite 205, Golden Valley, MN 55426-1719 | 2012-11-26 |
| 1366747040 | Professional Portable Radiologic Service, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4801 W 81st St, Bloomington, MN 55437-1111 | 2011-01-11 |
| 1568604585 | Portable Diagnostic Imaging, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6545 France Ave S, Suite C 62a, Edina, MN 55435-2131 | 2009-04-06 |
| 1013092196 | Professional Portable Radiologic Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 755 Cliff Rd E, Burnsville, MN 55337-1545 | 2006-10-26 |
| City | MINNEAPOLIS |
| Zip Code | 55430 |
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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.