Apex Mobile Imaging, LLC

Primary specialty

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

Legal business name

APEX MOBILE IMAGING, LLC

Practice address

3440 E Russell Rd # 208
Las Vegas, NV 89120-2201

Phone

(702) 972-0137

Fax

(725) 204-8283

NPI assigned

Aug 5, 2022

Last updated

Aug 5, 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

Mr. Jason Han, R.T. (R)

Title

Owner

Phone

(702) 972-0137

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326775636. Details of each certification follow.

• CCN 29X0009817 Portable X-ray supplier · Active · Name & address match · Details

Portable X-ray supplier certification: CCN 29X0009817

Legal name

APEX MOBILE IMAGING, LLC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Apr 13, 2023

Last certification

Apr 11, 2023

Ownership / control type

Corporation

Facility address

3440 E Russell Rd, Ste 208
Las Vegas, NV 89120

Locations

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1326775636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 E RUSSELL RD # 208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202201",
            "telephone_number": "702-972-0137",
            "fax_number": "725-204-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 E RUSSELL RD # 208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202201",
            "telephone_number": "702-972-0137",
            "fax_number": "725-204-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX MOBILE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-972-0137",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.T. (R)"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.