Organization Active NPI

Camelot Imaging Solutions, LTD

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Rockford, IL
National Provider Identifier
1861836835
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
CAMELOT IMAGING SOLUTIONS, LTD
Practice address
129 Phelps Ave
Suite 213
Rockford, IL 61108-2453
Phone
(815) 397-5554
Fax
(866) 914-7594
NPI assigned
Apr 22, 2013
Last updated
Mar 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Rebecca M Stemm
Title
Practice Manager
Phone
(815) 397-5554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

129 Phelps Ave
Suite 213
Rockford, IL 61108-2453

Mailing address

129 Phelps Ave
Suite 213
Rockford, IL 61108-2453
Phone (815) 397-5554

National Provider Directory

National Provider Directory

Locations

129 Phelps Ave
Ste 213
Rockford, IL 61108
Phone (815) 394-0016

Practitioners & affiliated clinicians

Practitioners 3

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": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1861836835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 PHELPS AVE",
            "address_2": "SUITE 213",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082453",
            "telephone_number": "815-397-5554",
            "fax_number": "866-914-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 PHELPS AVE",
            "address_2": "SUITE 213",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082453",
            "telephone_number": "815-397-5554",
            "fax_number": "866-914-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELOT IMAGING SOLUTIONS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "STEMM",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "815-397-5554"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.