Cavalier Mobile Xray Co

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

CAVALIER MOBILE XRAY CO

Practice address

2089 National Rd
Wheeling, WV 26003-5240

Phone

(330) 726-0202

Fax

(330) 726-0270

NPI assigned

May 18, 2006

Organization subpart

Yes

Parent organization

ALL-STAT PORTABLE, LLCAs reported in NPPES

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

Authorized official

Name

Etai Sooliman

Title

Ceo

Phone

(224) 337-1199

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ALL-STAT PORTABLE WV Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Cavalier Mobile Xray Co

  • Sonography Radiologic Technologist
  • Youngstown, OH
  • NPI 1417002692

  3678462827

  Same PAC ID
• Cavalier Mobile Xray Co

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Youngstown, OH
  • NPI 1669424743

  3678462827

  Same PAC ID

Tax ID family

Cavalier Mobile X-Ray C3 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.

• Cavalier Mobile Xray Co

  • Sonography Radiologic Technologist
  • Youngstown, OH
  • NPI 1417002692
  NPD tax ID
• Cavalier Mobile Xray Co

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Youngstown, OH
  • NPI 1669424743
  NPD tax ID

Locations

Practitioners 7

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

• Young J Lee, M.D.

  • Diagnostic Radiology Physician
  • Weirton, WV
  • NPI 1033186119
  NPD (past)
• Dean R Ball, D.O.

  • Diagnostic Radiology Physician
  • Youngstown, OH
  • NPI 1891794970
  NPD (past)
• Maximina Boutselis, M.D.

  • Diagnostic Radiology Physician
  • West Newbury, MA
  • NPI 1013946094
  NPD (past)
• Ashford McAllister, MD

  • Diagnostic Radiology Physician
  • Smyrna, GA
  • NPI 1659351666
  NPD (past)
• Frank Joseph Stella, DC

  • Chiropractor
  • Cranberry Township, PA
  • NPI 1629028246
  NPD (past)
• Derek Kurt Urban, MD

  • Diagnostic Radiology Physician
  • Lackland a F B, TX
  • NPI 1033197454
  NPD (past)
• Walter Uyesugi

  • Diagnostic Radiology Physician
  • Honolulu, HI
  • NPI 1386634202
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1770536260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 CHRISTIANA AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762910",
            "telephone_number": "224-337-1197",
            "fax_number": "330-726-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 NATIONAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035240",
            "telephone_number": "330-726-0202",
            "fax_number": "330-726-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVALIER MOBILE XRAY CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALL-STAT PORTABLE, LLC",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "SOOLIMAN",
        "authorized_official_first_name": "ETAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-337-1199"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6803009000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALL-STAT PORTABLE WV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael Rose Castello
• Maryann Cater, DO
• Catholic Charities West Virginia Inc.
• Catholic Community Services
• Catholic Community Services
• Robert A Caveney, MD
• Cody Scott Cawthon, DO
• Center for Professional Counseling
• Julie Cerra
• Linda Lou Cerra

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.