Roadrunner X-Ray, Inc.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

ROADRUNNER X-RAY, INC.

Practice address

512 N Walnut St
Sherman, TX 75090-4953

Phone

(903) 893-7773

Fax

(903) 893-7761

NPI assigned

Apr 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Shane Martin

Title

Owner

Phone

(580) 380-5444

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

Enrollment records 2

Portable X-ray supplier certification: CCN 45X0009895

Legal name

ROADRUNNER X-RAY INC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Apr 14, 2005

Last certification

Sep 4, 2018

Ownership / control type

Corporation

Facility address

512 N Walnut
Sherman, TX 75090

Locations

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1649234493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2802",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750912802",
            "telephone_number": "903-893-7773",
            "fax_number": "903-893-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N WALNUT ST",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750904953",
            "telephone_number": "903-893-7773",
            "fax_number": "903-893-7761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1417 W Liveoak St Ste B",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747014065",
            "country_code": "US",
            "telephone_number": "903-893-7773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROADRUNNER X-RAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-380-5444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "TX",
            "license": "R29074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1741886",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett Douglas Ringger, O.D.
• Naif John Risk
• Ritecare Medical Supply, Inc.
• Vilmary Rivera Colon, RD
• Mikel Rivera
• Lewis Wesley Roberts, CRT
• Madison Courtney Roberts, CPNP-PC
• Patricia Louellen Roberts, RN
• Brady Robinson, M.ED., LPC-S
• Jaquenette Johns Robinson, LPC

• Mobile Radiology Clinic/Center in Sherman, TX
• Providers in Sherman, TX by specialty
• Mobile Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.

Verify at the official NPI Registry.