Nomadx Inc.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

NOMADX INC.

Practice address

4 E Washington St
Ste B2-B4
Newnan, GA 30263-1933

Phone

(404) 826-9729

NPI assigned

Apr 5, 2017

Organization subpart

No

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

Authorized official

Name

Derek Lucchesi, ARRT

Title

Owner

Phone

(404) 372-5555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Portable X-ray supplier certification: CCN 11X0009833

Legal name

NOMADX, INC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Jan 28, 2014

Last certification

Dec 1, 2022

Ownership / control type

Corporation

Facility address

4 East Washington Street (Suites B2 and B4)
Newnan, GA 30263

Locations

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1861925075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 VANDERBILT POINTE WAY",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652307",
            "telephone_number": "404-826-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E WASHINGTON ST",
            "address_2": "STE B2-B4",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631933",
            "telephone_number": "404-826-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOMADX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "LUCCHESI",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-372-5555",
        "authorized_official_credential": "ARRT"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Nguyen, D.O.
• Thu Linh Thi Nguyen, RPH
• Qing Ni, M.D.
• Hope Elizabeth Nichols, NP
• Laura Renae Nichols, MS - CCC
• Nomadx, Inc.
• Saqita Pervin Noor
• Cristina Soledad Noriega, CNA/MA
• Chelsea Norris, MS, BCBA, LBA
• William Edward Norris, RN

• Physiological Laboratory in Newnan, GA
• Providers in Newnan, GA by specialty
• Physiological Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.