Onsite Medical Imaging Mink, LLC

Primary specialty

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

Legal business name

ONSITE MEDICAL IMAGING MINK, LLC

Practice address

11700-3 Mercy Blvd
Suite B - RTR Med
Savannah, GA 31419

Phone

(912) 228-5469

Fax

(866) 283-7925

NPI assigned

Mar 17, 2009

Last updated

May 29, 2012By 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. Jameel Rizk

Title

Coo

Phone

(912) 228-5469

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1538300876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61328",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314201328",
            "telephone_number": "912-228-5469",
            "fax_number": "866-283-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700-3 MERCY BLVD",
            "address_2": "SUITE B - RTR MED",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31419",
            "telephone_number": "912-228-5469",
            "fax_number": "866-283-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSITE MEDICAL IMAGING MINK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "RIZK",
        "authorized_official_first_name": "JAMEEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "912-228-5469",
        "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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• Providers in Savannah, GA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.