Organization Active NPI

American Quality Imaging

  • Mobile Radiology Clinic/Center
  • Beckley, WV
National Provider Identifier
1811146640
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
3400 Issued in WV
Legal business name
AMERICAN QUALITY IMAGING
Practice address
2401 S Kanawha St Ste 109
Beckley, WV 25801-6967
Phone
(304) 256-8300
Fax
(304) 256-8300
NPI assigned
Sep 17, 2008
Last updated
Sep 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Mr. David R. Hicks, R.T.(R)
Title
Partner
Phone
(304) 256-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X 3400 WV Primary

Addresses

Primary practice location

2401 S Kanawha St Ste 109
Beckley, WV 25801-6967

Mailing address

2401 S Kanawha St Ste 109
Beckley, WV 25801-6967
Phone (304) 256-8300

Other identifiers 1

IdentifierTypeStateIssuer
680100300MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090623000634 WV Part B Supplier - Portable X-Ray Supplier 6901956861 Practice locations: Beckley, WV

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
American Quality Imaging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1619 Stanaford Rd
Ste 210
Beckley, WV 25801

2401 S Kanawha St
#109B
Beckley, WV 25801
Phone (304) 256-8300

2401 S Kanawha St
Ste 109
Beckley, WV 25801
Phone (304) 256-8300

2401 S Kanawha St
Ste 109B
Beckley, WV 25801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1811146640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S KANAWHA ST STE 109",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016967",
            "telephone_number": "304-256-8300",
            "fax_number": "304-256-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S KANAWHA ST STE 109",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016967",
            "telephone_number": "304-256-8300",
            "fax_number": "304-256-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN QUALITY IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "304-256-8300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.T.(R)"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "WV",
            "license": "3400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680100300",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.