Active NPI
K&a Radiologic Technology Services Inc
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- East Syracuse, NY
National Provider Identifier
1992799282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- K&A RADIOLOGIC TECHNOLOGY SERVICES INC
- Practice address
- 6400 Collamer Road
East Syracuse, NY 13057-1032 - Phone
- (315) 437-1622
- Fax
- (315) 437-3190
- NPI assigned
- Sep 1, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth C Andrews
- Title
- President Owner
- Phone
- (315) 437-1622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Primary |
Addresses
Primary practice location
6400 Collamer Road
East Syracuse, NY 13057-1032
Mailing address
6400 Collamer Road
East Syracuse, NY 13057-1032
Phone (315) 437-1622
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01676237 | Medicaid | NY | |
| 01867596 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071130000315 | NY | Part B Supplier - Portable X-Ray Supplier | 5193712552 | Practice locations: East Syracuse, NY |
Portable X-ray supplier certification: CCN 33X0009832
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
- CLOSED -- K & A RADIOLOGIC TECH SVCS INC
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Dec 4, 1980
- Last certification
- Sep 20, 2007
- Ownership / control type
- CORPORATION
- Facility address
- 6400 Collamer Road
East Syracuse, NY 13057
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Physiological Laboratory
- East Syracuse, NY
- NPI 1891789939
5193712552
National Provider Directory
National Provider Directory- Tax ID family
- K a Radiologic Tech SVCS
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physiological Laboratory
- East Syracuse, NY
- NPI 1891789939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1992799282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 COLLAMER ROAD",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130571032",
"telephone_number": "315-437-1622",
"fax_number": "315-437-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 COLLAMER ROAD",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130571032",
"telephone_number": "315-437-1622",
"fax_number": "315-437-3190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K&A RADIOLOGIC TECHNOLOGY SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-01",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "ANDREWS",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "315-437-1622",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01676237",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01867596",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.