Affordable Mobile Diagnostic Services, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

22-03280 Issued in KS

Legal business name

AFFORDABLE MOBILE DIAGNOSTIC SERVICES, LLC

Practice address

6505 E Central Ave Ste 208
Wichita, KS 67206-1924

Phone

(316) 619-4507

NPI assigned

Feb 1, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elias Bernard, ARRTNPI 1205335551

Title

President

Phone

(316) 619-4507

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elias O Bernard, ARRT

  • Diagnostic Radiology Physician
  • Wichita, KS
  • NPI 1205335551
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1003315359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 E CENTRAL AVE STE 208",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061924",
            "telephone_number": "316-619-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 E CENTRAL AVE STE 208",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061924",
            "telephone_number": "316-619-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE MOBILE DIAGNOSTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-619-4507",
        "authorized_official_credential": "ARRT"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "KS",
            "license": "22-03280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Wichita, KS
• Mobile Radiology Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.