{
  "npi": "1790288587",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "RAVI",
    "authorized_official_last_name": "MALLIK",
    "authorized_official_middle_name": "J.",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_telephone_number": "4044416522",
    "authorized_official_title_or_position": "President Healthcare Division",
    "enumeration_date": "2018-03-17",
    "last_updated": "2018-03-17",
    "organization_name": "ACC3 INTERNATIONAL, INC.",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "13446 POWAY RD # 239",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "POWAY",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "920644714",
      "state": "CA"
    },
    {
      "address_1": "3340 PEACHTREE RD NE STE 2025",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ATLANTA",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "303261084",
      "state": "GA",
      "telephone_number": "404-467-9890"
    }
  ],
  "taxonomies": [
    {
      "code": "335V00000X",
      "desc": "Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Suppliers — Portable X-Ray Supplier",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "63",
        "medicare_type": "Portable X-Ray Supplier"
      }
    ]
  }
}