NPIMap

Organization Active NPI

Prohealth Mobile X-Ray LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Perrysburg, OH
National Provider Identifier
1902185259
Registry record updated Aug 11, 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
PROHEALTH MOBILE X-RAY LLC
Practice address
12611 Eckel Junction Rd
Perrysburg, OH 43551-1304
Phone
(419) 491-7150
Fax
(866) 437-9066
NPI assigned
Aug 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Ritchie Adams
Title
Owner/Ceo
Phone
(419) 491-7150

Specialties & licenses 1

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

Addresses

Primary practice location

12611 Eckel Junction Rd
Perrysburg, OH 43551-1304

Mailing address

12611 Eckel Junction Rd
Perrysburg, OH 43551-1304
Phone (419) 491-7150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Portable X-ray supplier certification: CCN 36X0009879

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PROHEALTH MOBILE X-RAY LLC
Certification status
Active
Provider type (POS)
Portable X-ray supplier
Participating since
Oct 19, 2012
Last certification
Jan 23, 2019
Ownership / control type
Individual
Facility address
12611 Eckel Junction Road
Perrysburg, OH 43551

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Alyssa Lay
    • Physical Therapy Assistant
    • Waterville, OH
    • NPI 1396174157
    NPD

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1902185259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12611 ECKEL JUNCTION RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511304",
            "telephone_number": "419-491-7150",
            "fax_number": "866-437-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12611 ECKEL JUNCTION RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511304",
            "telephone_number": "419-491-7150",
            "fax_number": "866-437-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH MOBILE X-RAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "RITCHIE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "419-491-7150"
    },
    "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 Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.