Transray Diagnostic, Inc.

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

FA0036198 Issued in NM

Legal business name

TRANSRAY DIAGNOSTIC, INC.

Practice address

703 Osuna Rd NE
Suite 3
Albuquerque, NM 87113-1391

Phone

(505) 717-6018

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Gina T Constant

Title

Vice President

Phone

(505) 717-6018

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Transray Diagnostic, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Albuquerque, NM
  • NPI 1275693780

  8426062506

  Same PAC ID

Tax ID family

Transray Diagnostic Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Transray Diagnostic, Inc

  • Mobile Radiology Clinic/Center
  • Albuquerque, NM
  • NPI 1235253071
  NPD tax ID
• Transray Diagnostic, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Albuquerque, NM
  • NPI 1275693780
  NPD tax ID

Locations

Practitioners 2

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

• Christopher Troy Koch, MD

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1114144417

  NM

  Medicare reassignment NPD
• Mohammed Fareed Quraishi, MD

  • Diagnostic Radiology Physician
  • Omaha, NE
  • NPI 1871545269

  NM

  Medicare reassignment NPD

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1730130410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70035",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871970035",
            "telephone_number": "505-717-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 OSUNA RD NE",
            "address_2": "SUITE 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131391",
            "telephone_number": "505-717-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSRAY DIAGNOSTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "CONSTANT",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "505-717-6018",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": "NM",
            "license": "FA0036198",
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NM",
            "license": "RRT00642",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56820577",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Transray Diagnostic, Inc
• Transray Diagnostic, Inc
• Russell Trapnell, DMD
• Christine Haagerq Trapp, LMSW
• Timothy D Trapp, MD
• Jan L Tras, LPCC, LMFT
• Valerie Trask, M.S. CCC-SLP

• Radiography Radiologic Technologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Radiography Radiologic Technologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.