MEDICARE: STAT PORTABLE X-RAY OF OHIO LIMITED LIABILITY COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

General Provider Information

NPI Number	:	1417129032
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAT PORTABLE X-RAY OF OHIO LIMITED LIABILITY COMPANY

Provider Business Mailing Address
First Line	:	21118 UNION TURNOIKE
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364
Country	:	US
Telephone Number	:	718-217-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	20575 CENTER RIDGE RD
Second Line	:	SUITE 506
City	:	ROCKY RIVER
State	:	OH
Zip	:	44116-3422
Country	:	US
Telephone Number	:	718-217-8000
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	MR. ALEX PLATSCHEK
Credential	:
Telephone Number	:	718-217-8000

Provider Enumeration Date	:	03/25/2008
Last Update Date	:	12/24/2018

Similar Medicare Providers

1366443541 — ANTONY M GEORGE M.D.
Practice Location Address:

20575 CENTER RIDGE RD
ROCKY RIVER, OH
44116-3422

Practice Phone: 440-403-9506
Practice Fax: 440-403-9507

1447365952 — MS. MARIANNE A. HOCKING N.P.
Practice Location Address:

20575 CENTER RIDGE RD , #500
ROCKY RIVER, OH
44116-3422

Practice Phone: 216-524-7377
Practice Fax: 440-895-3957

1881706448 — MRS. MARY KATHRYN LAWSON L.I.S.W.
Practice Location Address:

20575 CENTER RIDGE RD , STE 314
ROCKY RIVER, OH
44116-3422

Practice Phone: 440-331-4533
Practice Fax: 440-331-5244

1972661981 — KAISER PERMANENTE
Practice Location Address:

20575 CENTER RIDGE RD
ROCKY RIVER, OH
44116-3422

Practice Phone: 216-265-8810
Practice Fax: 216-265-8890

1174746424 — SAFAA AL-HADDAD MD
Practice Location Address:

20575 CENTER RIDGE RD STE 500
ROCKY RIVER, OH
44116-3422

Practice Phone: 440-250-2070
Practice Fax: 440-331-4063

1992058267 — YVETTE GOLDURS LISW-S
Practice Location Address:

20575 CENTER RIDGE RD STE 119
ROCKY RIVER, OH
44116-3422

Practice Phone: 216-526-4208
Practice Fax: 216-274-6388

Directions to “STAT PORTABLE X-RAY OF OHIO LIMITED LIABILITY COMPANY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.