Organization Active NPI

Residents' Choice Mobile X-Ray

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Beachwood, OH
National Provider Identifier
1629154372
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
RESIDENTS' CHOICE MOBILE X-RAY
Practice address
20600 Chagrin Blvd
Suite 230
Beachwood, OH 44122-5327
Phone
(216) 751-5688
Fax
(216) 751-5749
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Ms. Laura L Scott
Title
Chief Operatin Officer
Phone
(216) 751-5688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X OH Primary

Addresses

Primary practice location

20600 Chagrin Blvd
Suite 230
Beachwood, OH 44122-5327

Mailing address

20600 Chagrin Blvd
Suite 230
Beachwood, OH 44122-5327
Phone (216) 751-5688

Other identifiers 1

IdentifierTypeStateIssuer
2564505MedicaidOH

National Provider Directory

National Provider Directory

Locations

20600 Chagrin Blvd
Ste 230
Shaker Hts, OH 44122
Phone (216) 751-5688

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1629154372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20600 CHAGRIN BLVD",
            "address_2": "SUITE 230",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225327",
            "telephone_number": "216-751-5688",
            "fax_number": "216-751-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20600 CHAGRIN BLVD",
            "address_2": "SUITE 230",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225327",
            "telephone_number": "216-751-5688",
            "fax_number": "216-751-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTS' CHOICE MOBILE X-RAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF OPERATIN OFFICER",
        "authorized_official_telephone_number": "216-751-5688",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2564505",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.