Midwest X-Ray, Inc

Primary specialty

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

License

20453 Issued in IN

Legal business name

MIDWEST X-RAY, INC

Practice address

1031 Mount Auburn Rd
Evansville, IN 47720-8226

Phone

(812) 425-4682

Fax

(812) 425-2564

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sandy L Ashby, RT

Title

Radiology Manager

Phone

(812) 491-1307

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1831254424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 MOUNT AUBURN RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477208226",
            "telephone_number": "812-425-4682",
            "fax_number": "812-425-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 MOUNT AUBURN RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477208226",
            "telephone_number": "812-425-4682",
            "fax_number": "812-425-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST X-RAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "ASHBY",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "RADIOLOGY MANAGER",
        "authorized_official_telephone_number": "812-491-1307",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "IN",
            "license": "20453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER#",
            "identifier": "000000226088",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS IL PROVIDER#",
            "identifier": "0002222230",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200311880A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Evansville, IN
• Providers in Evansville, IN by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.