Advanced Imaging Services, Inc

Primary specialty

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

Legal business name

ADVANCED IMAGING SERVICES, INC

Practice address

5501 Grissom Road
Suite 103
San Antonio, TX 78238-3035

Phone

(210) 684-0409

Fax

(210) 684-0260

NPI assigned

Dec 6, 2006

Last updated

Jan 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zachary Rathbun, BBA

Title

Vice President

Phone

(210) 684-0409

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841359858. Details of each certification follow.

• CCN 45X0009867 Portable X-ray supplier · Active · Name & address match · Details

Portable X-ray supplier certification: CCN 45X0009867

Legal name

ADVANCED IMAGING SERVICES INC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Jan 17, 1996

Last certification

May 17, 2022

Ownership / control type

Corporation

Facility address

5501 Grissom Road, Suite 101
San Antonio, TX 78238

Other NPIs with the same Medicare PAC ID 1

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

• Advanced Imaging Services, Inc

  • Physiological Laboratory
  • San Antonio, TX
  • NPI 1184884496

  4183669401

  Same PAC ID

Tax ID family

Advanced Imaging Services Inc2 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.

• Advanced Imaging Services, Inc

  • Physiological Laboratory
  • San Antonio, TX
  • NPI 1184884496
  NPD tax ID

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1841359858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380552",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782687552",
            "telephone_number": "210-684-0409",
            "fax_number": "210-684-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 GRISSOM ROAD",
            "address_2": "SUITE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383035",
            "telephone_number": "210-684-0409",
            "fax_number": "210-684-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED IMAGING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "RATHBUN",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "210-684-0409",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0861056-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.