R.T. Portable X-Ray Inc.

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

5810 Issued in TX

Legal business name

R.T. PORTABLE X-RAY INC.

Practice address

2627 Wells CT
Cedar Hill, TX 75104-6943

Phone

(972) 523-6815

Fax

(214) 515-9302

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Rafael H Rodriguez, RTNPI 1295760932

Title

Provider

Phone

(972) 523-6815

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Portable X-ray supplier certification: CCN 45X0009898

Legal name

R T PORTABLE X-RAY INC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Dec 1, 2005

Last certification

Dec 17, 2019

Ownership / control type

Corporation

Facility address

2627 Wells Court
Cedar Hill, TX 75104

Locations

Practitioners 1

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

• Rafael H Rodriguez, RT

  • Radiologic Technologist
  • Cedar Hill, TX
  • NPI 1295760932
  NPD (past) Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1942234992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 WELLS CT",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751046943",
            "telephone_number": "972-523-6815",
            "fax_number": "214-515-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 WELLS CT",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751046943",
            "telephone_number": "972-523-6815",
            "fax_number": "214-515-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.T. PORTABLE X-RAY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "972-523-6815",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "TX",
            "license": "5810",
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "459898",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pruitt Counseling & Consulting, PLLC
• Barbara Morgan Punch, S.L.P.
• Purple Hearts Case Management Services
• Queen Healthcare Services Inc
• R. Ross First Assisting Inc.
• Rachel Health Service
• Alicia Ramirez, M.S., CCC-SLP
• Joshua Dimaano Ramos, PT, DPT
• Randle Home Care
• Daniel Randle

• Radiologic Technologist in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Radiologic Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.