Provider Demographics
NPI:1982712683
Name:RAPID PORTABLE X-RAY SERVICE INC
Entity Type:Organization
Organization Name:RAPID PORTABLE X-RAY SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BARRY
Authorized Official - Last Name:SEADER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-986-2700
Mailing Address - Street 1:6851 JERICHO TPKE STE 150
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4462
Mailing Address - Country:US
Mailing Address - Phone:516-986-2700
Mailing Address - Fax:516-986-2710
Practice Address - Street 1:6851 JERICHO TPKE STE 150
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4462
Practice Address - Country:US
Practice Address - Phone:516-986-2700
Practice Address - Fax:516-986-2710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QR0208X
NY29014184335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
No261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY870022100OtherRAILROAD MEDICARE
NY01867514Medicaid
NYO98021Medicare PIN
NY870022100OtherRAILROAD MEDICARE