Russell L. Palmer Jr, R.T., B.S.

Primary specialty

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

License

CRT-5873 Issued in AZ

Legal business name

RUSSELL L. PALMER JR, R.T., B.S.

Doing business as

Alliance Mobile X-ray

Practice address

214 White Spar Rd
Prescott, AZ 86303-4236

Phone

(928) 777-9064

Fax

(928) 777-9183

NPI assigned

Apr 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Russell Leon Palmer Jr., R.T.,B.S.NPI 1851552459

Title

Owner

Phone

(928) 777-9064

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Alliance Mobile X-ray Doing business as

Locations

Practitioners 1

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

• Russell Leon Palmer Jr., RT, BS

  • Radiologic Technologist
  • Prescott, AZ
  • NPI 1851552459
  NPD (past) Authorized official

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1245295021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 SCOTT DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011731",
            "telephone_number": "928-777-9064",
            "fax_number": "928-777-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 WHITE SPAR RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034236",
            "telephone_number": "928-777-9064",
            "fax_number": "928-777-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL L. PALMER JR, R.T., B.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-777-9064",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R.T.,B.S."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "AZ",
            "license": "CRT-5873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "630001733",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD I.D.",
            "identifier": "0722380",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Mobile X-ray",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rhonelda Carolyn Rummel, PT
• Robert Mark Rummel, MD, PHD
• Rosaleen Margaret Runnalls, LCSW
• Patricia Miriam Rus, PA-C
• Thomas William Rusing, M.D.
• Liana Russo, L.AC
• Haley Ruth, OTR/L
• Vincent Joseph Ruzzo Jr., PHD
• Ryan S. Brown, DDS PLLC
• Dale Ryder, LCSW

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.