Active NPI
Valley Mobile X-Ray, Inc.
- Radiography Radiologic Technologist
- Yakima, WA
National Provider Identifier
1811043706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiography Radiologic Technologist
- License
- XT00000247
- Legal business name
- VALLEY MOBILE X-RAY, INC.
- Practice address
- 308 N 6TH Ave
Yakima, WA 98902-2114 - Phone
- (509) 249-1258
- Fax
- (509) 576-3916
- NPI assigned
- Jan 25, 2007
- 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
- Steven Y Chang, RT
- Title
- President
- Phone
- (509) 307-2301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | XT00000247 | WA | Primary |
Addresses
Primary practice location
308 N 6TH Ave
Yakima, WA 98902-2114
Mailing address
PO Box 8224
Yakima, WA 98908-0224
Phone (509) 249-1258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7078116 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Portable X-ray supplier certification: CCN 50X0009831
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
- VALLEY MOBILE X-RAY INC
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Mar 24, 2008
- Last certification
- Mar 24, 2008
- Ownership / control type
- CORPORATION
- Facility address
- 308 N 6TH Ave
Yakima, WA 98902
National Provider Directory
National Provider DirectoryLocations
308 N 6th Ave
Yakima, WA 98902
Phone (509) 249-1258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199404800000",
"number": "1811043706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8224",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989080224",
"telephone_number": "509-249-1258",
"fax_number": "509-576-3916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 N 6TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022114",
"telephone_number": "509-249-1258",
"fax_number": "509-576-3916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY MOBILE X-RAY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2008-01-04",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "509-307-2301",
"authorized_official_credential": "RT"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Radiography",
"state": "WA",
"license": "XT00000247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7078116",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.