Community Portable X-Ray, Llc

LBN: Community Portable X-Ray, Llc
Community Portable X-Ray, Llc is an health care organization with primary practice located at 1635 Dorchester Dr , Plano TX 75075-6443. The organization recently has 2 registered licenses in different health care specialties including Laboratories / Physiological Laboratory, Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier. Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier is the primary health care specialty. Community Portable X-Ray, Llc can be contacted via phone (972) 633-9427, or through Roeder, Jason via phone (303) 371-0073.

Contact Information

Primary practice address
1635 Dorchester Dr Plano TX 75075-6443
Phone: (972) 633-9427
Fax: (972) 881-1250
Website:
Map and Directions
Authorized official contact:
Name: Roeder, Jason
Phone: (303) 371-0073

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Physiological Laboratory 293D00000X
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Profile Details

NPI number 1396850632
LBN Legal business name Community Portable X-Ray, Llc
DBA Doing business as
Authorized official Roeder, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Feb 12th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396850632 NPPES
Texas MEDICAID 143330202

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