PDQ Imaging Services LLC

Primary specialty

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

Legal business name

PDQ IMAGING SERVICES LLC

Doing business as

GHC Imaging

Practice address

2500 Farm Road 79 Ste 2
Paris, TX 75460-4427

Phone

(800) 879-2343

Fax

(877) 879-7379

NPI assigned

Dec 8, 2009

Last updated

Nov 8, 2022By 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

Etai Sooliman

Title

Ceo

Phone

(224) 337-1000

Specialties & licenses 1

Addresses

Other names 1

• GHC Imaging Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235468059. Details of each certification follow.

• CCN 45X0009909 Portable X-ray supplier · Active · Name & address match · Details

Portable X-ray supplier certification: CCN 45X0009909

Legal name

GHC IMAGING

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Aug 11, 2008

Last certification

Oct 17, 2017

Ownership / control type

Corporation

Most recent change of ownership

Oct 1, 2022

Facility address

2500 Farm Road 79, Ste 2
Paris, TX 75460

Other NPIs with the same Medicare PAC ID 1

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

• PDQ Imaging Services LLC

  dba GHC Imaging

  • Mobile Radiology Clinic/Center
  • Paris, TX
  • NPI 1780240895

  5698806941

  Same PAC ID

Tax ID family

GHC 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.

• PDQ Imaging Services LLC

  dba GHC Imaging

  • Mobile Radiology Clinic/Center
  • Paris, TX
  • NPI 1780240895
  NPD tax ID

Practitioners 7

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.

• Russell Gerald Gelormini, D.O.

  • Diagnostic Radiology Physician
  • Boerne, TX
  • NPI 1932194545
  NPD (past)
• Adel Abdalla, M.D.

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1497702542
  NPD (past)
• Jeremy D Havas, D.O

  • Diagnostic Radiology Physician
  • Ocala, FL
  • NPI 1043203003
  NPD (past)
• Justin Hung Pham, M.D.

  • Diagnostic Radiology Physician
  • Rockford, IL
  • NPI 1821040866
  NPD (past)
• Roberto Rivera-Morales, MD

  • Diagnostic Radiology Physician
  • Weston, FL
  • NPI 1992797377
  NPD (past)
• Pradheep J Shanker, M.D.

  • Body Imaging Physician
  • Columbus, OH
  • NPI 1457399818
  NPD (past)
• Gujjarappa Srinivas, M.D.

  • Diagnostic Radiology Physician
  • Tucson, AZ
  • NPI 1083623656
  NPD (past)

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1235468059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 CHRISTIANA AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762910",
            "telephone_number": "224-337-1000",
            "fax_number": "224-337-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 FARM ROAD 79 STE 2",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754604427",
            "telephone_number": "800-879-2343",
            "fax_number": "877-879-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDQ IMAGING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "SOOLIMAN",
        "authorized_official_first_name": "ETAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-337-1000"
    },
    "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": "GHC Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Priyansh Ashish Patel, MD
• Johnna Patterson Tekell, OTR
• Marilynn Patton
• Alois Rogerio Pauls, MD
• PCM Imaging (Open Imaging of Longview)
• PDQ Imaging Services LLC (GHC Imaging)
• Pediatric Therapy, Inc.
• Lauren Elise Peek Travillion, FNP-C
• Sydney Mika Peek, FNP-C
• Charles A Pence

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Paris, TX
• Providers in Paris, TX by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.