DIAGNOSTIC X-RAY SERVICE INC , NPI 1750465423 — AMHERST (NY)

NPI 1750465423

13+ Years Experience Organization

DIAGNOSTIC X-RAY SERVICE INC

10/25/2006
PROVIDER ENUMERATION DATE
05/17/2012
LAST UPDATE DATE
1750465423
NPI NUMBER

About DIAGNOSTIC X-RAY SERVICE INC

DIAGNOSTIC X-RAY SERVICE INC is a provider established in AMHERST, NY. The NPI number of DIAGNOSTIC X-RAY SERVICE INC is 1750465423 and was assigned on 10/25/2006. The practitioners primary taxonomy code is: 293D00000X .

Mailing address

  • City: ERIE
  • State: PA
  • Postal code: 165081256
  • Phone: 8004469729
  • Fax: 8144596386
  • Address: 1769 W 26TH ST

Primary Practice Address

  • Region : AMHERST, NY
  • NPI : 1750465423
  • Phone : 8009649729
  • Fax : 7166343460
  • Postalcode : 142265102
  • Address : 6000 N BAILEY AVE

Additional identifiers

  • Identifier: 1676219
  • Code / Type : 5 - MEDICAID
  • Identifier state : NY

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Provider taxonomy - Physiological Laboratory

  • Taxonomy code: 293D00000X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A laboratory that operates independently of a hospital and physician"s office to furnish physiological diagnostic services (e.g. EEG"s , EKG"s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

Contacts:

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  • DIAGNOSTIC X-RAY SERVICE INC
  • Address : 6000 N BAILEY AVE
  • Region : AMHERST, NY
  • NPI : 1750465423
  • Phone : 8009649729
  • Fax : 7166343460
  • Postalcode : 142265102

Authorized official :

{:AUTHORIZED_OFFICIAL_FIRST_NAME:} {:AUTHORIZED_OFFICIAL_MIDDLE_NAME:} {:AUTHORIZED_OFFICIAL_LAST_NAME:}
  • Phone : 8004469729
  • Title or position : PRESIDENT

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address6000 N BAILEY AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameAMHERST
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNY
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code142265102
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number8009649729
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number7166343460
The fax number associated with the location address of the provider being identified.
NPI1750465423
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1293D00000X
A laboratory that operates independently of a hospital and physician"s office to furnish physiological diagnostic services (e.g. EEG"s , EKG"s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Provider Enumeration Date10/25/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated05/17/2012
The date that a record was last updated or changed.
Entity TypeOrganization
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Organization SubpartN
The "Is the organization a subpart?" question must be answered. If the organization is a subpart, the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. Many organization health care providers who apply for NPIs are not legal entities themselves but are parts of other organization health care providers that are legal entities (the "parents"). Here are three examples of organization health care providers that may be considered subparts and may apply for NPIs if so directed by their "parents": (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. The legal entity must obtain an NPI. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. (2) A group practice that is not a sole proprietorship has a main location and could have other offices in different locations, but each office is not a separate legal entity; instead, each office is part of the corporation (the "parent") which is a legal entity. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. Neither the pharmacy line of business nor the DME line of business represent legal entities; instead, both lines of business are part of an organization (the "parent") that is a legal entity. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. The "parent"-we don"t know who the parent is in this example-must ensure that each subpart that submits its own claims to health plans has its own NPI.
Provider Organization Name (Legal Business Name)DIAGNOSTIC X-RAY SERVICE INC
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address1769 W 26TH ST
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameERIE
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NamePA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code165081256
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number8004469729
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number8144596386
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Authorized Official Last NameWUERSTLE
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameTHOMAS
The first name of the authorized official
Authorized Official Middle NameJAMES
The middle name of the authorized official
Authorized Official Title or PositionPRESIDENT
The title or position of the authorized official
Authorized Official Name Prefix TextMR.
Authorized Official Name Prefix Text
Authorized Official Telephone Number8004469729
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code #1293D00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Physiological Laboratory
A laboratory that operates independently of a hospital and physician"s office to furnish physiological diagnostic services (e.g. EEG"s , EKG"s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 11676219
Other Provider Identifier #1
Other Provider Identifier Type 15
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1NY
Other Provider Identifier State #1
X

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