Alpha Portable X-Ray Inc

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

413784 Issued in MN

Legal business name

ALPHA PORTABLE X-RAY INC

Practice address

11990 Camden Brook St
Las Vegas, NV 89183-5642

Phone

(702) 875-1007

Fax

(702) 431-3354

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Juan Sosa Rivera, RAD TECH RT

Title

Secretary

Phone

(702) 580-1652

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1194904839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11990 CAMDEN BROOK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835642",
            "telephone_number": "702-875-1007",
            "fax_number": "702-431-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 CAMDEN BROOK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835642",
            "telephone_number": "702-875-1007",
            "fax_number": "702-431-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA PORTABLE X-RAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "SOSA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "702-580-1652",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RAD TECH  RT"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "MN",
            "license": "413784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Las Vegas, NV
• Radiologic Technologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.