Apex Portable X-Ray Inc

Primary specialty

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

Legal business name

APEX PORTABLE X-RAY INC

Practice address

8205 Cass Ave Ste 108C
Darien, IL 60561-5319

Phone

(877) 589-1424

Fax

(877) 589-1425

NPI assigned

Jul 14, 2020

Last updated

Jul 22, 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

Mr. Christopher Chalokwu

Title

Director

Phone

(877) 589-1424

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366050577. Details of each certification follow.

• CCN 14X0009888 Portable X-ray supplier · Active · Name & address match · Details

Portable X-ray supplier certification: CCN 14X0009888

Legal name

APEX PORTABLE X-RAY INC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Mar 2, 2021

Last certification

Mar 2, 2021

Ownership / control type

Corporation

Most recent change of ownership

Mar 27, 2024

Facility address

8205 Cass Avenue
Darien, IL 60561

Locations

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1366050577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 CASS AVE STE 108C",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615319",
            "telephone_number": "877-589-1424",
            "fax_number": "877-589-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 CASS AVE STE 108C",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615319",
            "telephone_number": "877-589-1424",
            "fax_number": "877-589-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX PORTABLE X-RAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "CHALOKWU",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-589-1424",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Darien, IL
• Providers in Darien, IL by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.