SIMPLY MOBILE X-RAY INC (NPI# 1679722615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679722615 |
| Entity Type | Organization |
| Organization Name | SIMPLY MOBILE X-RAY INC |
| Practice Address |
3661 W 12th Ln Yuma AZ 85364-9107 |
| Practice Telephone | 9282616379 |
| Practice Fax Number | 9282764834 |
| Mailing Telephone | 9282616379 |
| Mailing Fax Number | 9282764834 |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2013-05-03 |
| Authorized Official Name | MR. STEVEN Y CHANG (PRESIDENT) |
| Authorized Official Telephone | 9282616379 |
| Authorized Official Credential | R.T. |
| 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 | RHT 92930 | CA | Suppliers |
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | CRT-14994 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 443363 | 05 | |
| AZ | MEDICARE RAILROAD CARRIER | P00733483 | 01 |
| Street Address |
3661 W 12TH LN |
| City | YUMA |
| State | AZ |
| Zip Code | 85364-9107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| 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 |
|---|---|---|---|---|
| 1235675018 | Arizona Mobile Medical Diagnostics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3780 S 4th Ave, Suite C, Yuma, AZ 85365 | 2017-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037255 | Sonography Solutions LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2311 Prairie Grass Dr, Sierra Vista, AZ 85635-7002 | 2020-09-15 |
| 1033683750 | Dmc Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 55 Lake Havasu Ave S Ste F142, Lake Havasu City, AZ 86403-0938 | 2019-01-15 |
| 1053813337 | Arizona Ultrasound Services, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5620 W Thunderbird Rd Ste C1, Glendale, AZ 85306-4639 | 2018-03-02 |
| 1487188025 | Select Consultants LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 745 E Raven Way, Gilbert, AZ 85297-1211 | 2017-04-19 |
| 1598219289 | Diagnostic Ultrasound Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3931 N Stockton Hill Rd Ste E, Kingman, AZ 86409-2426 | 2016-08-10 |
| 1659658169 | Radiexcel, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3060 S Nash Way, Chandler, AZ 85286-2482 | 2011-11-11 |
| 1194041988 | Arizona Mobile Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2655 W Guadalupe Rd Ste 31b, Mesa, AZ 85202-7245 | 2010-04-19 |
| 1851613764 | Kan-di-ki, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2538 E University Dr Ste F-220, Phoenix, AZ 85034-6917 | 2010-02-18 |
| 1952536609 | Team Motion X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7000 N 16th St # 120-459, Phoenix, AZ 85020-5547 | 2009-05-26 |
| 1396988200 | Portable Diagnostic Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5534 W Riviera Dr, Glendale, AZ 85304-2700 | 2009-04-08 |
| Find all providers with the same taxonomy | ||||
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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.