CAVALIER MOBILE XRAY CO (NPI# 1770536260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770536260 |
| Entity Type | Organization |
| Organization Name | CAVALIER MOBILE XRAY CO |
| Other Organization Name | MOBILE DIAGNOSTIC IMAGING, LIMITED LIABILITY COMPANY |
| Practice Address |
2089 National Rd Wheeling WV 26003-5240 |
| Mailing Address |
Po Box 3371 Youngstown OH 44513-3371 |
| Practice Telephone | 3307260202 |
| Practice Fax Number | 3307260270 |
| Mailing Telephone | 3307260202 |
| Mailing Fax Number | 3307260270 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-11-12 |
| Authorized Official Name | BENJAMIN M KARMAZIN (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3307260202 |
| 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 |
|---|---|---|---|
| WV | 6803009000 | 05 |
| Other Name | Type Code |
|---|---|
| Mobile Diagnostic Imaging, Limited Liability Company | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417002692 | Cavalier Mobile Xray Co | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 590 E Western Reserve Rd, Unit 10d, Youngstown, OH 44514-3354 | 2007-01-25 |
| 1669424743 | Cavalier Mobile Xray Co | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 590 E Western Reserve Rd, Unit 10d, Youngstown, OH 44514-3354 | 2006-05-16 |
| Street Address |
2089 NATIONAL RD |
| City | WHEELING |
| State | WV |
| Zip Code | 26003-5240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070538 | Ashley Lynn Fleming | Case Manager/Care Coordinator | 442 Woodland Acres Rd, Wheeling, WV 26003 | 2020-10-13 |
| 1982202057 | Tiffany Renee Beck | Behavioral Analyst | 1007 Market Street, Wheeling, WV 26003 | 2020-10-12 |
| 1922620426 | Abbey Lynne Griffith | Speech-Language Pathologist | 199 Co Rd 7/7, Jane Lew, WV 26003 | 2020-05-07 |
| 1801309414 | Amy Wade | Counselor | 2204 Eoff Street, Wheeling, WV 26003 | 2017-11-06 |
| 1053840157 | Syl Solution Marketing | Durable Medical Equipment & Medical Supplies | 800 Hazlett Ave, Wheeling, WV 26003 | 2017-06-12 |
| 1568917334 | Hamed M Motlagh | Dentist | 53 14th St Ste 208, Wheeling, WV 26003 | 2016-08-22 |
| 1922454446 | Carrie Ann Warman | Pharmacist | 200 Mt.dechantal Road, Wheeling, WV 26003 | 2016-05-13 |
| 1447636691 | Ashley M Zando | Nurse Anesthetist, Certified Registered | 109 Mt Wood Road, Wheeling, WV 26003 | 2015-08-10 |
| 1194126441 | John Greaves | Specialist/Technologist | 135 Springdale Ave, Wheeling, WV 26003 | 2014-09-05 |
| 1154747210 | Donald Lee Rebich | Pharmacist | 61-29th Street, Wheeling, WV 26003 | 2014-03-13 |
| Find all providers in zip 26003 | ||||
| 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 |
|---|---|---|---|---|
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1033399175 | P & P Health Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 26 Sun Vly, Glen Dale, WV 26038-1222 | 2007-11-06 |
| 1295150092 | Quality Mobile Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 501 5th Ave, Suite 2, Huntington, WV 25701-1900 | 2014-03-03 |
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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.