Riverside Portable X-Ray & Ekg

Primary specialty

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

License

XT00000006 Issued in WA

Legal business name

RIVERSIDE PORTABLE X-RAY & EKG

Practice address

4621 Morgan St
Bellingham, WA 98229-5239

Phone

(360) 734-6849

Fax

(360) 671-2602

NPI assigned

Nov 2, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Terri L Delnegro

Title

Office Manager

Phone

(360) 734-6849

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Portable X-ray supplier certification: CCN 50X0009820

Legal name

RIVERSIDE PORTABLE X-RAY AND EKG

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Oct 1, 1996

Last certification

Oct 1, 1996

Ownership / control type

CORPORATION

Facility address

4621 Morgan Street
Bellingham, WA 98229

Locations

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1770574394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29183",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982281183",
            "telephone_number": "360-734-6849",
            "fax_number": "360-671-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 MORGAN ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982295239",
            "telephone_number": "360-734-6849",
            "fax_number": "360-671-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PORTABLE X-RAY & EKG",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "DELNEGRO",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-734-6849",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "WA",
            "license": "XT00000006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PROVIDER NUM",
            "identifier": "362715001",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7072630",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8031783",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marina Chanel Kovic Ritchie, PA
• Susan Jane Rittmueller, M.A.
• Rivendell Psychological Services
• Kelly Ruth Rivera
• Lex Dorian Rivers, LMHC, CDP
• Hannah Rae Rizika
• Kacey Roach, RD
• Peter William Robbins, MD
• Anne Robershaw, LMFT
• Robert E Curtis DC PS

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.