Organization Active NPI

Sarajean Shalosky Dba Bedside Xray & Ekg Service

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Dover, OH
National Provider Identifier
1275585465
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
R2534598 Issued in OH
Legal business name
SARAJEAN SHALOSKY DBA BEDSIDE XRAY & EKG SERVICE
Practice address
2198 Willow Glen Dr NW
Dover, OH 44622-9717
Phone
(800) 922-1270
Fax
(614) 861-1180
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Authorized official

Name
Sarajean Shalosky, RTNPI 1912959024
Title
Owner
Phone
(800) 922-1270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X R2534598 OH Primary

Addresses

Primary practice location

2198 Willow Glen Dr NW
Dover, OH 44622-9717

Mailing address

PO Box 79
Reynoldsburg, OH 43068-0079
Phone (800) 922-1270

Other identifiers 1

IdentifierTypeStateIssuer
0789508MedicaidOH

National Provider Directory

National Provider Directory

Locations

7061 Corporate Way
Dayton, OH 45459
Phone (800) 624-6726

Practitioners & affiliated clinicians

Practitioners 1

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": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1275585465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430680079",
            "telephone_number": "800-922-1270",
            "fax_number": "614-861-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2198 WILLOW GLEN DR NW",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446229717",
            "telephone_number": "800-922-1270",
            "fax_number": "614-861-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAJEAN SHALOSKY DBA BEDSIDE XRAY & EKG SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "SHALOSKY",
        "authorized_official_first_name": "SARAJEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-922-1270",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "OH",
            "license": "R2534598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0789508",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.