Active NPI
Alerra, LLC
- Mobile Radiology Clinic/Center
- Portland, OR
National Provider Identifier
1568927903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- ALERRA, LLC
- Doing business as
- StatMobile Healthcare
- Practice address
- 618 NW 12TH Ave Apt 412
Portland, OR 97209-3031 - Phone
- (949) 258-9883
- Fax
- (949) 281-7707
- NPI assigned
- Feb 8, 2019
- 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
- Martin A Canales
- Title
- Member
- Phone
- (949) 258-9883
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | Primary | ||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
618 NW 12TH Ave Apt 412
Portland, OR 97209-3031
Mailing address
34443 Via Verde Apt B
Capistrano Beach, CA 92624-1222
Phone (949) 258-9883
Other names 1
- StatMobile Healthcare
National Provider Directory
National Provider Directory- Tax ID family
- Alerra LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- San Juan Capistrano, CA
- NPI 1780165662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549584000000",
"number": "1568927903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34443 VIA VERDE APT B",
"city": "CAPISTRANO BEACH",
"state": "CA",
"postal_code": "926241222",
"telephone_number": "949-258-9883",
"fax_number": "949-281-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 NW 12TH AVE APT 412",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972093031",
"telephone_number": "949-258-9883",
"fax_number": "949-281-7707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALERRA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-08",
"last_updated": "2019-02-08",
"status": "A",
"authorized_official_last_name": "CANALES",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "949-258-9883"
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "StatMobile Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.