Alliance Care Mobile X-Ray, LLC

Primary specialty

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

License

14175 Issued in MA

Legal business name

ALLIANCE CARE MOBILE X-RAY, LLC

Practice address

44 W Emerson St Apt 11
Melrose, MA 02176-3131

Phone

(857) 237-9005

NPI assigned

Mar 24, 2011

Last updated

Oct 21, 2011By 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

Mr. Romain D Voufo, RT

Title

Ceo

Phone

(857) 237-9005

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1205135696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 W EMERSON ST APT 11",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763131",
            "telephone_number": "857-237-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 W EMERSON ST APT 11",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763131",
            "telephone_number": "857-237-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE CARE MOBILE X-RAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "VOUFO",
        "authorized_official_first_name": "ROMAIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "857-237-9005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "MA",
            "license": "14175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "22X0009831",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110090095A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Dermatology and Aesthetic Center LLC
• Advanced Dermatology of Melrose, PLLC
• Jacalyn Jean Agrillo I, PT, MSPT
• Daria Alaverdian, MSN, PMHNP
• Louis F Alfano Jr., M.D.
• Allstate Care Inc
• Therese Almeida, PT
• Alper Periodontics & Implants
• Joel Alper, DMD
• Mohammed Alqaryan, PHARMD

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Melrose, MA
• Providers in Melrose, MA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.