Organization Active NPI

Remote Access Diagnostic Services

  • Mobile Radiology Clinic/Center
  • Aurora, CO
National Provider Identifier
1629618558
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
REMOTE ACCESS DIAGNOSTIC SERVICES
Practice address
14221 E 4TH Ave Ste 2-221
Aurora, CO 80011-8735
Phone
(720) 639-4410
Fax
(855) 373-2943
NPI assigned
Jan 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Authorized official

Name
Amanuel Berhane Haile, RT(R)(MR)NPI 1992207815
Title
Owner
Phone
(720) 339-1029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

14221 E 4TH Ave Ste 2-221
Aurora, CO 80011-8735

Mailing address

14221 E 4TH Ave Ste 2-221
Aurora, CO 80011-8735
Phone (720) 639-4410

Other names 1

  • maryimaging Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Portable X-ray supplier certification: CCN 06X0009819

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
REMOTE ACCESS DIAGNOSTIC SERVICES
Certification status
Active
Provider type (POS)
Portable X-ray supplier
Participating since
Apr 17, 2020
Last certification
Apr 17, 2020
Ownership / control type
Individual
Facility address
14221 E 4TH Ave Ste 2-221
Aurora, CO 80011

National Provider Directory

National Provider Directory

Locations

14221 E 4th Ave
Ste 2221
Aurora, CO 80011
Phone (720) 639-4410

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1629618558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 E 4TH AVE STE 2-221",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118735",
            "telephone_number": "720-639-4410",
            "fax_number": "855-373-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 E 4TH AVE STE 2-221",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118735",
            "telephone_number": "720-639-4410",
            "fax_number": "855-373-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMOTE ACCESS DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "HAILE",
        "authorized_official_first_name": "AMANUEL",
        "authorized_official_middle_name": "BERHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-339-1029",
        "authorized_official_credential": "RT(R)(MR)"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "maryimaging",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "maryimaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.