Organization Active NPI

North Shore Mobile Radiography & Testing, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Glen Cove, NY
National Provider Identifier
1336468065
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
449221 Issued in NY
Legal business name
NORTH SHORE MOBILE RADIOGRAPHY & TESTING, INC
Practice address
120 Woolsey Ave
Glen Cove, NY 11542-1808
Phone
(516) 776-2097
Fax
(516) 676-5264
NPI assigned
May 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Mr. Christopher Jaines Brown, L.R.T
Title
Owner/Operator
Phone
(516) 676-5264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 449221 NY Primary

Addresses

Primary practice location

120 Woolsey Ave
Glen Cove, NY 11542-1808

Mailing address

120 Woolsey Ave
Glen Cove, NY 11542-1808
Phone (516) 676-5264

National Provider Directory

National Provider Directory

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": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1336468065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WOOLSEY AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421808",
            "telephone_number": "516-676-5264",
            "fax_number": "516-676-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WOOLSEY AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421808",
            "telephone_number": "516-776-2097",
            "fax_number": "516-676-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE MOBILE RADIOGRAPHY & TESTING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JAINES",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "516-676-5264",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.R.T"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NY",
            "license": "449221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.