On Site Radiography, Inc.

Primary specialty

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

License

03006400007 Issued in NM

Legal business name

ON SITE RADIOGRAPHY, INC.

Practice address

7208 Relampago St NW
Albuquerque, NM 87120-1501

Phone

(505) 843-9836

Fax

(505) 332-9825

NPI assigned

Nov 23, 2005

Last updated

Oct 2, 2024By 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

Mrs. April Montano, R.T.NPI 1861052177

Title

Ceo

Phone

(505) 843-9836

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306829213. Details of each certification follow.

• CCN 32X0009819 Portable X-ray supplier · Active · Name & address match · Details

Portable X-ray supplier certification: CCN 32X0009819

Legal name

On-Site Radiography, INC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Oct 8, 2004

Last certification

Jun 30, 2023

Ownership / control type

Individual

Facility address

7208 Relampago St NW
Albuquerque, NM 87120

Practitioners 1

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.

• April Montano, RT(R)

  • Radiography Radiologic Technologist
  • Albuquerque, NM
  • NPI 1861052177
  NPD Authorized official

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1306829213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7208 RELAMPAGO ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201501",
            "telephone_number": "505-843-9836",
            "fax_number": "505-332-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 RELAMPAGO ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201501",
            "telephone_number": "505-843-9836",
            "fax_number": "505-332-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON SITE RADIOGRAPHY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "MONTANO",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-843-9836",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.T."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NM",
            "license": "03006400007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NM PROVIDER #",
            "identifier": "00NM007G75",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01856278",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.