Provider Demographics
NPI:1457985582
Name:NEIGHBORHOOD PORTABLE X-RAY SERVICES LLC
Entity type:Organization
Organization Name:NEIGHBORHOOD PORTABLE X-RAY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-359-9729
Mailing Address - Street 1:6901 K AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-2540
Mailing Address - Country:US
Mailing Address - Phone:214-620-4549
Mailing Address - Fax:
Practice Address - Street 1:6901 K AVE STE 109
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-2540
Practice Address - Country:US
Practice Address - Phone:833-359-9729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-27
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier