Xclusive Imaging Services, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

XCLUSIVE IMAGING SERVICES, LLC

Practice address

1511 Heatherglade LN
Lawrenceville, GA 30045-9778

Phone

(770) 365-2744

NPI assigned

Jan 13, 2017

Last updated

Jan 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa QuinonesNPI 1750826376

Title

Ceo

Phone

(770) 365-2744

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Quinones, RVS

  • Vascular Sonography Radiologic Technologist
  • Atlanta, GA
  • NPI 1750826376
  NPD (past) Authorized official

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1093251068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 HEATHERGLADE LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459778",
            "telephone_number": "770-365-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 HEATHERGLADE LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459778",
            "telephone_number": "770-365-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XCLUSIVE IMAGING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-365-2744"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Mikkel Wynn, OTR/L
• Kimberly Wynn
• Lakesha Wynn, CRC, NCC
• Meagan Wynn
• Shannon Xayaraj, DMD
• Stephanie Yan, DO
• Kyle T Yandle, PA-C
• Douachi Yang
• Ji Ho Yang
• Stevens Yang, MD

• Mobile Radiology Clinic/Center in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Mobile Radiology Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.