Fisher-Titus Affiliated Services

Primary specialty

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

Legal business name

FISHER-TITUS AFFILIATED SERVICES

Doing business as

North Central Mobile Diagnostics

Practice address

12513 US Highway 250 N
Milan, OH 44846-9546

Phone

(419) 663-1367

Fax

(419) 499-2664

NPI assigned

Nov 6, 2009

Last updated

Dec 5, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

FISHER-TITUS HEALTHAs reported in NPPES

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

Authorized official

Name

Laurie S Delgado

Title

Senior VP Operations

Phone

(419) 660-6931

Specialties & licenses 1

Addresses

Other names 1

• North Central Mobile Diagnostics Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144557406. Details of each certification follow.

• CCN 36X0009812 Portable X-ray supplier · Active · Name & address match · Details

Portable X-ray supplier certification: CCN 36X0009812

Legal name

NORTH CENTRAL MOBILE DIAGNOSTICS

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Oct 16, 1979

Last certification

Jun 12, 2018

Ownership / control type

Other Than Private

Facility address

12513 US Route 250 North
Milan, OH 44846

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1144557406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12513 US HIGHWAY 250 N",
            "city": "MILAN",
            "state": "OH",
            "postal_code": "448469546",
            "telephone_number": "419-663-1367",
            "fax_number": "419-499-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12513 US HIGHWAY 250 N",
            "city": "MILAN",
            "state": "OH",
            "postal_code": "448469546",
            "telephone_number": "419-663-1367",
            "fax_number": "419-499-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER-TITUS AFFILIATED SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FISHER-TITUS HEALTH",
        "enumeration_date": "2009-11-06",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SENIOR VP OPERATIONS",
        "authorized_official_telephone_number": "419-660-6931"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Central Mobile Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erie County Office of Auditor (Erie County General Health District)
• Lindsey Esker, MA CCC-SLP
• Family Health Services of Erie County
• Family Health Services of Erie County (Family Health Services)
• First Choice Medical Staffing of Ohio, Inc (First Choice Medical Staffing of Ohio)
• Fisher-Titus Affiliated Services (North Central Mobile Diagnostics)
• Fisher-Titus Affiliated Services (North Central EMS)
• Ashley Forche, ED.S.
• Patrick Galloway
• Natalie Gonyea, MA CCC-SLP

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Milan, OH
• Providers in Milan, OH by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.