Organization Active NPI

Radex Mobile Network LLC

Doing business as Radex Mobile Network

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Santa Ana, CA
National Provider Identifier
1336642685
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
RADEX MOBILE NETWORK LLC
Doing business as
Radex Mobile Network
Practice address
1633 E 4TH St Ste 236
Santa Ana, CA 92701-5144
Phone
(714) 474-1149
Fax
(866) 888-0865
NPI assigned
Mar 13, 2018
Last updated
Oct 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Mr. Conrado Olalia Quemuel, CRTNPI 1568968899
Title
Ceo
Phone
(714) 474-1149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

1633 E 4TH St Ste 236
Santa Ana, CA 92701-5144

Mailing address

1633 E 4TH St Ste 236
Santa Ana, CA 92701-5144
Phone (714) 474-1149

Other practice location 1

530 S 8th St
Las Vegas, NV 89101-7003
Phone (714) 800-3375

Other names 1

  • Radex Mobile Network Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180625003741 CA Part B Supplier - Portable X-Ray Supplier 5698020097 Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory

Locations

1633 E 4th St
Ste 236
Santa Ana, CA 92701
Phone (714) 474-1149

530 S 8th St
Las Vegas, NV 89101
Phone (714) 800-3375

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1336642685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 E 4TH ST STE 236",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015144",
            "telephone_number": "714-474-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 E 4TH ST STE 236",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015144",
            "telephone_number": "714-474-1149",
            "fax_number": "866-888-0865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891017003",
            "country_code": "US",
            "telephone_number": "714-800-3375",
            "fax_number": "866-888-0865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADEX MOBILE NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "QUEMUEL",
        "authorized_official_first_name": "CONRADO",
        "authorized_official_middle_name": "OLALIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-474-1149",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": [
        {
            "organization_name": "Radex Mobile Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.