Biotech X-Ray, Inc.

Primary specialty

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

Legal business name

BIOTECH X-RAY, INC.

Practice address

2895 Algoma Blvd Ste C
Oshkosh, WI 54901-1012

Phone

(920) 230-9729

Fax

(920) 230-2061

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Richard William Hunt

Title

VP Compliance & Internal Operations

Phone

(877) 909-9729

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 2

• MOBILE MEDICAL DIAGNOSTICS OF LACROSSE, INC. Other name
• BioTech X-ray, Inc. Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

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

• Biotech X-Ray Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Oshkosh, WI
  • NPI 1215679741

  6901792571

  Same PAC ID
• Biotech X-Ray Inc

  • Physiological Laboratory
  • Oshkosh, WI
  • NPI 1366195752

  6901792571

  Same PAC ID
• Biotech X-Ray Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Saint Louis, MO
  • NPI 1437108842

  6901792571

  Same PAC ID
• Biotech X-Ray, Inc.

  • Physiological Laboratory
  • Saint Louis, MO
  • NPI 1790921088

  6901792571

  Same PAC ID

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.

• Biotech X-Ray Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Oshkosh, WI
  • NPI 1215679741
  NPD tax ID
• Biotech X-Ray Inc

  • Physiological Laboratory
  • Oshkosh, WI
  • NPI 1366195752
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Biotech X-Ray Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Oshkosh, WI
  • NPI 1215679741

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aamer Z. Farooki, M.D.

  • Diagnostic Radiology Physician
  • Phoenixville, PA
  • NPI 1316941859
  NPD (past)
• Hilton I Price, MD

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1003822164
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1407936693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2895 ALGOMA BLVD STE C",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549011012",
            "telephone_number": "920-230-9729",
            "fax_number": "920-230-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 ALGOMA BLVD STE C",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549011012",
            "telephone_number": "920-230-9729",
            "fax_number": "920-230-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOTECH X-RAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "VP COMPLIANCE & INTERNAL OPERATIONS",
        "authorized_official_telephone_number": "877-909-9729"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337365700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MN",
            "identifier": "39L01MO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE OF MN",
            "identifier": "126531",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42507900",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://medimatrix.biotechxray.net",
            "affiliation": "N",
            "endpointDescription": "client login portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2895 Algoma Blvd Ste C",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549011012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MOBILE MEDICAL DIAGNOSTICS OF LACROSSE, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "MOBILE MEDICAL DIAGNOSTICS OF LACROSSE, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "BioTech X-ray, Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MOBILE MEDICAL DIAGNOSTICS OF LACROSSE, INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David M Bingham, D.O.
• Bio-Medical Applications of Wisconsin, Inc.
• Bio-Medical Applications of Wisconsin, Inc.
• Biotech X-Ray Inc
• Biotech X-Ray Inc
• Roberta Ann Blaha, OTR
• John C Blake
• Samantha Blanchard
• Robert John Blanco, M.D.
• Samantha Blicharz

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.