Active NPI
Tri-State Mobile X-Ray, Inc
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Pittsburgh, PA
National Provider Identifier
1487826152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- TRI-STATE MOBILE X-RAY, INC
- Practice address
- 4684 Clairton Blvd
Pittsburgh, PA 15236-2114 - Phone
- (412) 881-9333
- Fax
- (412) 881-3522
- NPI assigned
- Apr 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Christine A Mursch
- Title
- General Manager
- Phone
- (412) 881-9333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | PA | Primary |
Addresses
Primary practice location
4684 Clairton Blvd
Pittsburgh, PA 15236-2114
Mailing address
4684 Clairton Blvd
Pittsburgh, PA 15236-2114
Phone (412) 881-9333
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310954 | Other | PA | HIGHMARK |
| 0027846 | Other | PA | AETNA |
| 1288202 | Other | PA | UMWA |
| 66071 | Medicaid | PA | |
| 14969 | Other | PA | ELDERCARE |
| 2351413903 | Other | PA | UPMC |
| 0008535090003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051003000072 | PA | Part B Supplier - Portable X-Ray Supplier | 9537194170 | Practice locations: Pittsburgh, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1487826152. Details of each certification follow.
Portable X-ray supplier certification: CCN 39X0009814
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- TRI STATE MOBILE X RAY INC
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Apr 2, 1982
- Last certification
- Mar 23, 2023
- Ownership / control type
- Corporation
- Facility address
- 4684 Clairton Boulevard
Pittsburgh, PA 15236
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Tri-State Mobile X-Ray Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mobile Radiology Clinic/Center
- Pittsburgh, PA
- NPI 1265430060
Locations
4684 Clairton Blvd
Pittsburgh, PA 15236
Phone (412) 881-7255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213142400000",
"number": "1487826152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4684 CLAIRTON BLVD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152362114",
"telephone_number": "412-881-9333",
"fax_number": "412-881-3522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4684 CLAIRTON BLVD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152362114",
"telephone_number": "412-881-9333",
"fax_number": "412-881-3522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-STATE MOBILE X-RAY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-02",
"last_updated": "2008-06-11",
"status": "A",
"authorized_official_last_name": "MURSCH",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "412-881-9333",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "310954",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0027846",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1288202",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "66071",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERCARE",
"identifier": "14969",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "2351413903",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008535090003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
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- Tri-State Orthopaedics & Sports Medicine, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.