PHS KS Moirai LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

PHS KS MOIRAI LLC

Doing business as

PHS - Portable Health Solutions

Practice address

1510 Walnut St
Coffeyville, KS 67337-6641

Phone

(800) 771-9729

NPI assigned

Apr 14, 2025

Organization subpart

No

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

Authorized official

Name

James Baker

Title

Ceo

Phone

(918) 664-9729

Specialties & licenses 1

Addresses

Other names 1

• PHS - Portable Health Solutions Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Portable X-ray supplier certification: CCN 17X0009812

Legal name

PHS PORTABLE HEALTH SOLUTIONS

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Feb 10, 2026

Last certification

Feb 10, 2026

Facility address

1510 Walnut St
Coffeyville, KS 67337

Tax ID family

PHS - Portable Health Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• PHS KS Moirai LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Coffeyville, KS
  • NPI 1245175835
  NPD tax ID

Locations

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1043005606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 E 46TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741454801",
            "telephone_number": "800-771-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 WALNUT ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673376641",
            "telephone_number": "800-771-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHS KS MOIRAI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-664-9729"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHS - Portable Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peer Medical Imaging Interpretation LLC
• Peter McKinley Peer II, DO
• Michelle B Perry, APRN
• Barry Curtis Phillips, N.P.-C
• Larry D Phipps, CRNA
• PHS KS Moirai LLC
• Carrie Ann Pitts
• Plaza Pharmacy Inc
• Heather Lee Pollet, APRN
• Jimmy Lee Powell

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Coffeyville, KS
• Providers in Coffeyville, KS by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.