Allied Portable X-Ray Inc

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

435970 Issued in MN

Legal business name

ALLIED PORTABLE X-RAY INC

Practice address

1255 Filer Ave E Ste C
Twin Falls, ID 83301-4118

Phone

(855) 364-6243

Fax

(855) 463-3211

NPI assigned

Aug 21, 2014

Last updated

Feb 29, 2024By 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

Carlee Stieglitz-Leatham

Title

President/ Owner

Phone

(855) 364-6243

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104225531. Details of each certification follow.

• CCN 13X0009807 Portable X-ray supplier · Active · Name & address match · Details

Portable X-ray supplier certification: CCN 13X0009807

Legal name

ALLIED PORTABLE X-RAY INC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Aug 14, 2015

Last certification

Aug 14, 2015

Ownership / control type

CORPORATION

Facility address

1255 Filer Ave East Suite C
Twin Falls, ID 83301

Tax ID family

Allied Portable X-Ray Inc2 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.

• Allied Portable Xray Inc

  • Diagnostic Radiology Physician
  • Twin Falls, ID
  • NPI 1558724070
  NPD tax ID

Practitioners 2

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.

• Mark F Guilfoyle, DO

  • Diagnostic Radiology Physician
  • Lebanon, NH
  • NPI 1558329128
  NPD (past)
• Ying Zhao, MD

  • Diagnostic Radiology Physician
  • Athens, TX
  • NPI 1710926308
  NPD (past)

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1104225531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 FILER AVE E STE C",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014118",
            "telephone_number": "855-364-6243",
            "fax_number": "855-463-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 FILER AVE E STE C",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014118",
            "telephone_number": "855-364-6243",
            "fax_number": "855-463-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED PORTABLE X-RAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "STIEGLITZ-LEATHAM",
        "authorized_official_first_name": "CARLEE",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "855-364-6243"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "MN",
            "license": "435970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104225531",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Leigh Allen
• Nathan Kent Allen, D.O.
• Sheryce Marie Allendorf, LCSW
• Alliance Family Services, Inc.
• Alliance Home Health of Idaho, LLC (Alliance Hospice)
• Allied Portable Xray Inc
• Debra Allred, NP
• Tavia Jade Allred
• Kimberlee Anne Almon, M.S., CFY-SLP
• Katherine Jean Alper, MS, RDN, LD

• Mobile Radiology Clinic/Center in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Mobile Radiology Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.