ETHEL SHADE DBA SURE SHOT X-RAY MOBILE X-RAY SERVICES (NPI# 1497930630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497930630 |
| Entity Type | Organization |
| Organization Name | ETHEL SHADE DBA SURE SHOT X-RAY MOBILE X-RAY SERVICES |
| Practice Address |
7310 S Westmoreland Rd Ste 11 Dallas TX 75237-3015 |
| Practice Telephone | 9728229292 |
| Practice Fax Number | 9722981137 |
| Mailing Telephone | 9728229292 |
| Mailing Fax Number | 9722981137 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-12-15 |
| Authorized Official Name | MS. ETHEL SHADE (OWNER) |
| Authorized Official Telephone | 9728229292 |
| Authorized Official Credential | RT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
R31722 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RADIOLOGY | R31722 | 01 |
| Street Address |
7310 S WESTMORELAND RD STE 11 |
| City | DALLAS |
| State | TX |
| Zip Code | 75237-3015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223372 | Advanced Medical Services Associates, LLC | Clinic/Center | Advanced Urgent Care Center, 3690 W Wheatland Rd, Suite 150, Dallas, TX 75237 | 2020-10-20 |
| 1225520455 | Ethan William Gingras | Nurse Practitioner | 39769 I-20, Dallas, TX 75237 | 2018-06-04 |
| 1376031450 | Maria North | Student in an Organized Health Care Education/Training Program | Methodist Charlton Medical Center, 3500 W. Wheatland Road, Dallas, TX 75237 | 2018-04-25 |
| 1639671118 | Arquimedes Hernandez Perez | Registered Nurse | 6010 S Westmoreland Rd 423, Dallas, TX 75237 | 2018-03-01 |
| 1275055832 | Tanaka Transport | Non-emergency Medical Transport (VAN) | 4353 Gannon Ln Ste 103-a, Dallas, TX 75237 | 2017-07-14 |
| 1730620543 | Joshua Vong | Physical Therapist | 3107 W. Camp Wisdom Road Suite 131, Dallas, TX 75237 | 2017-03-13 |
| 1821537507 | Votka Sbong | Chiropractor | 2525 W. Wheatland Rd. Ste 230, Dallas, TX 75237 | 2017-02-15 |
| 1508304957 | Archana Srivastava Md Pa | Internal Medicine | 4305 W. Wheatland Road, Suite 130, Dallas, TX 75237 | 2017-02-06 |
| 1295272045 | Stafford Family Enterprises LLC | Dentist | 3306 West Camp Wisdom, Suite 100, Dallas, TX 75237 | 2017-01-31 |
| 1891170585 | Philip James Tyler | Chiropractor | 7125 Marvin D Love Fwy Ste 107, Dallas, TX 75237 | 2015-07-23 |
| Find all providers in zip 75237 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
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| 1063939254 | Medlife Diagnostic Services Inc | Clinic/Center | 17774 Preston Rd, Dallas, TX 75252-5736 | 2017-08-28 |
| 1003071457 | Synergy Imaging, LLC | Clinic/Center | 221 W Colorado Blvd, Pavilion I, Suite 205, Dallas, TX 75208-2363 | 2008-07-25 |
| 1932375409 | Portable X-ray of Texas, LLC | Clinic/Center | 10610 Metric Dr, Suite 100, Dallas, TX 75243-5581 | 2008-05-05 |
| 1336271097 | Trail Blazer Diagnostics | Clinic/Center | 221 W Colorado Blvd, #925, Dallas, TX 75208-2363 | 2007-03-09 |
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| 1679105498 | Texas Imaging LLC | Clinic/Center | 914 Rs County Road 3345, Emory, TX 75440-4810 | 2020-02-10 |
| 1356989818 | Encore Healthcare Consultants Corporation | Clinic/Center | 5625 Cypress Creek Pkwy Ste 210, Houston, TX 77069-4210 | 2019-12-16 |
| 1558913236 | Segenvo LLC | Clinic/Center | 1420 Stonehollow Dr Ste A, Kingwood, TX 77339-2494 | 2019-07-12 |
| 1730745928 | Etsub Negussie Haileselassie | Clinic/Center | 1702 Arbor Creek Dr, Garland, TX 75040-8912 | 2019-05-14 |
| 1245792704 | Myultrasound Diagnostic Imaging Centers, LLC | Clinic/Center | 1816 Whitney Dr, Richardson, TX 75082-3116 | 2019-04-03 |
| 1639640923 | Abcl Diagnostic Inc | Clinic/Center | 2100 Valley Falls Ave, Mesquite, TX 75181-2114 | 2018-12-11 |
| 1750871414 | Gulf Coast Imaging & Associates, LLC | Clinic/Center | 914 E Fordyce Ave Ste B, Kingsville, TX 78363-5818 | 2018-05-17 |
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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.