ALLIANCE CARE MOBILE X-RAY, LLC — NPI 1205135696 (Licensed & Credentialed Suppliers

CMS-1500 Box 24J / 33a • NPI

1205135696

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

335V00000X (CMS 63)

Licensed & Credentialed Suppliers — Portable X-Ray Supplier

Box 32 Service Location & ZIP+4

44 W EMERSON ST APT 11, MELROSE, MA, 02176-3131

✓ 9-Digit EDI 837 ZIP+4 (02176-3131)

Practice Phone & Referral Fax

(857) 237-9005

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1205135696 (ALLIANCE CARE MOBILE X-RAY, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1205135696` (NPI-2 Organization / Facility)
Provider / Legal Name	ALLIANCE CARE MOBILE X-RAY, LLC
Plain-English Specialty	Licensed & Credentialed Suppliers — Portable X-Ray Supplier NUCC Code: `335V00000X` (Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	44 W EMERSON ST APT 11, MELROSE, MA, 02176-3131
Practice Telephone / Fax	Tel: (857) 237-9005
Administrative Mailing Address	44 W EMERSON ST APT 11, MELROSE, MA, 02176-3131
Enumeration & Last Sync	Enumerated: 2011-03-24 \| CMS Record Updated: 2011-10-21
Authorized Official	ROMAIN VOUFO (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

44 W EMERSON ST APT 11, MELROSE, MA, 02176-3131

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Plain-English Taxonomy & CMS Crosswalk (335V00000X)

What Does Taxonomy Code 335V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 335V00000X translates to:
"Licensed & Credentialed Suppliers — Portable X-Ray Supplier"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 63 (Portable X-Ray Supplier)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALLIANCE CARE MOBILE X-RAY, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`335V00000X` — Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier Plain English: Licensed & Credentialed Suppliers — Portable X-Ray Supplier	State: MA \| License: `14175` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALLIANCE CARE MOBILE X-RAY, LLC (NPI #1205135696)