NPIMap

Organization Active NPI

American Quality Imaging

  • Radiology Clinic/Center
  • Beckley, WV
National Provider Identifier
1235265307
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
3400 Issued in WV
Legal business name
AMERICAN QUALITY IMAGING
Practice address
2401 S Kanawha St
Suite109
Beckley, WV 25801-6967
Phone
(304) 256-8300
Fax
(304) 256-8300
NPI assigned
Feb 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Authorized official

Name
Pat Schuman, CPCS
Title
Credentialing Specialist
Phone
(304) 929-6930

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 3400 WV Primary
Mobile Radiology Clinic/Center 261QR0208X 3400 WV

Addresses

Primary practice location

2401 S Kanawha St
Suite109
Beckley, WV 25801-6967

Mailing address

2401 S Kanawha St
Suite109
Beckley, WV 25801-6967
Phone (304) 256-8300

Other identifiers 2

IdentifierTypeStateIssuer
680100300MedicaidWV
5198071OtherWVMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090615000588 WV Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6901956861 Practice locations: Beckley, WV

National Provider Directory

National Provider Directory
Tax ID family
American Quality Imaging2 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.

Locations

2401 S Kanawha St
Ste 109
Beckley, WV 25801
Phone (304) 256-8300

1404 Robert C Byrd Dr
Ste 210
Crab Orchard, WV 25827

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1235265307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S KANAWHA ST",
            "address_2": "SUITE109",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016967",
            "telephone_number": "304-256-8300",
            "fax_number": "304-256-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S KANAWHA ST",
            "address_2": "SUITE109",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016967",
            "telephone_number": "304-256-8300",
            "fax_number": "304-256-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN QUALITY IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "SCHUMAN",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "304-929-6930",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "WV",
            "license": "3400",
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "WV",
            "license": "3400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680100300",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "5198071",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.