Active NPI
Remote Access Diagnostic Services
- Mobile Radiology Clinic/Center
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- 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
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)
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Aurora, CO
- NPI 1992207815
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.