Organization Active NPI

Transray Diagnostic, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Albuquerque, NM
National Provider Identifier
1275693780
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
RRT00642 Issued in NM
Legal business name
TRANSRAY DIAGNOSTIC, INC
Practice address
703 Osuna Rd NE
Suite 3
Albuquerque, NM 87113-1391
Phone
(505) 717-6018
Fax
(505) 883-0608
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
Gina T Constant
Title
VP
Phone
(505) 899-4018

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X RRT00642 NM Primary

Addresses

Primary practice location

703 Osuna Rd NE
Suite 3
Albuquerque, NM 87113-1391

Mailing address

PO Box 70035
Albuquerque, NM 87197-0035
Phone (505) 717-6018

Other identifiers 1

IdentifierTypeStateIssuer
56820577MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060127000234 NM Part B Supplier - Portable X-Ray Supplier 8426062506 Practice locations: Albuquerque, NM

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Transray Diagnostic Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1275693780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70035",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871970035",
            "telephone_number": "505-717-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 OSUNA RD NE",
            "address_2": "SUITE 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131391",
            "telephone_number": "505-717-6018",
            "fax_number": "505-883-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSRAY DIAGNOSTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "CONSTANT",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "505-899-4018"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NM",
            "license": "RRT00642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56820577",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.