COM-RAD MOBILE IMAGING, LLC


Address: 339 Benwood Trl Ne, Cleveland, TN 37323-5096
Phone: 4236508353

COM-RAD MOBILE IMAGING, LLC (NPI# 1902934110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902934110
Entity Type Organization
Organization Name COM-RAD MOBILE IMAGING, LLC
Practice Address 339 Benwood Trl Ne
Cleveland
TN 37323-5096
Practice Telephone 4236508353
Practice Fax Number 3362450649
Mailing Telephone 4236508353
Mailing Fax Number 3362450649
Enumeration Date 2007-03-01
Last Update Date 2011-07-19
Authorized Official Name MR. MARK MINTON (PRESIDENT)
Authorized Official Telephone 4236508353
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
TN 3400012 05

Office Location

Street Address 339 BENWOOD TRL NE
City CLEVELAND
State TN
Zip Code 37323-5096

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477066082 Quadmed Medical Clinics of Wisconsin, S.c. D/b/a Quadmed Medical Group Registered Nurse 2525 Benton Pike Ne, Cleveland, TN 37323 2017-11-06
1679877518 Life Bridges, Inc. Intermediate Care Facility, Mentally Retarded 207 Kile Lake Road, Cleveland, TN 37323 2011-01-07
1376847251 Life Bridges, Inc. Intermediate Care Facility, Mentally Retarded 209 Kile Lake Road, Cleveland, TN 37323 2011-01-06
1508084302 Karen Elizabeth Gannon Nurse Practitioner 11111 Doctor's Office Tower, 2200 Children's Way, Nashville, TN 37323 2007-04-24
1235353566 Melissa D Townsend Specialist/Technologist, Other 120 Fern Drive, Cleveland, TN 37323 2007-04-11
1306965686 David Wayne Miolen Dentist 2648 Apd 40, Cleveland, TN 37323 2007-03-28
1780751933 Linda Fay Wooten Driver 2259 Spring Place Rd Se, Cleveland, TN 37323 2006-11-30
1487134482 Kristy Alese Henegar Nurse Practitioner 1420 Fritz St Se, Cleveland, TN 37323 2018-08-19
1417577537 Eduardo Trevino Family Medicine 3009 Midfield Cir Se, Cleveland, TN 37323-0554 2020-04-18
1831339589 Lyle Foster Johnson Occupational Therapy Assistant 2657 Apd 40, Cleveland, TN 37323-0696 2009-02-20
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Taxonomy Information

Taxonomy Code 335V00000X
Grouping Suppliers
Classification Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689038440 Gamma Healthcare, Inc Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 309 N Church Ave, Ste 5, Dyersburg, TN 38024-3013 2016-04-07
1164829347 Tennessee Mobile Diagnostics Inc Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 2874 Elm Hill Pike, Nashville, TN 37214-3718 2014-12-03
1003110271 Pri X-ray, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 4040 Mountain Creek Rd, Apartment 1304, Chattanooga, TN 37415-6034 2011-01-03
1316106578 Professional Ultrasound Imaging LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 588 Vann Ln, Manchester, TN 37355-5002 2008-06-03
1225202765 Hometown Medical Services LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 635 Highway 51 S, Covington, TN 38019-2427 2008-04-16
1982885190 Med Lifts LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 1700 S Holtzclaw Ave, Chattanooga, TN 37404-4803 2007-11-15
1467594614 Med-way Mobile X Ray LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 251 Mchenry Circle, Livingston, TN 38570 2007-02-13
1245376581 Radiographics, Inc. Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 2135 Hillshire Cir, Memphis, TN 38133-6074 2007-01-30
1407967565 Southeastern Mobile Imaging LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 5004 Bayberry Dr, Knoxville, TN 37921-1401 2006-08-31
1316050172 East Tennessee Mobile Diagnostics LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 5913 Wooded Acres Dr, Knoxville, TN 37921-3924 2006-08-16
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Competitor

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City CLEVELAND
Zip Code 37323

Improve Information

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Dataset Information

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.

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