NPIMap

Organization Active NPI

Biotech X-Ray Inc

Doing business as BTX Wi

  • Physiological Laboratory
  • Oshkosh, WI
National Provider Identifier
1366195752
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
BIOTECH X-RAY INC
Doing business as
BTX Wi
Practice address
2895 Algoma Blvd
Oshkosh, WI 54901-1012
Phone
(920) 230-9729
NPI assigned
Jan 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Tamara Bishop Schwartz
Title
President/Ceo
Phone
(314) 440-1770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

2895 Algoma Blvd
Oshkosh, WI 54901-1012

Mailing address

1065 Executive Parkway Dr Ste 220
Saint Louis, MO 63141-6367
Phone (314) 440-1770

Other practice location 1

780 Lake Point Dr
Chanhassen, MN 55317-9284
Phone (314) 440-1770

Other identifiers 2

IdentifierTypeStateIssuer
717690309MedicaidMO
213040MedicaidMO

Other names 2

  • BTX WI Doing business as
  • Accurate Imaging, Inc. Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://medimatrix.biotechxray.net/ Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220221001424 WI Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6901792571 1 other NPI on this enrollment
Practice locations: Oshkosh, WI

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2240009Accurate Imaging, Inc2895 Algoma Blvd, Oshkosh, WI 54901Certificate of waiverOct 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Biotech X Ray Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

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": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1366195752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 EXECUTIVE PARKWAY DR STE 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416367",
            "telephone_number": "314-440-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 ALGOMA BLVD",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549011012",
            "telephone_number": "920-230-9729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Lake Point Dr",
            "address_purpose": "LOCATION",
            "city": "Chanhassen",
            "state": "MN",
            "postal_code": "553179284",
            "country_code": "US",
            "telephone_number": "314-440-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BIOTECH X-RAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "BISHOP",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "314-440-1770"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "717690309",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213040",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://medimatrix.biotechxray.net/",
            "affiliation": "N",
            "endpointDescription": "Radiology Information system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2895 Algoma Blvd",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549011012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BTX WI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Accurate Imaging, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.