Provider Demographics
NPI:1487602249
Name:AMERICAN PORTABLE MEDICAL SERVICES INC
Entity type:Organization
Organization Name:AMERICAN PORTABLE MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:WUKICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-327-3557
Mailing Address - Street 1:2030 ADER RD
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-4500
Mailing Address - Country:US
Mailing Address - Phone:724-327-3557
Mailing Address - Fax:724-325-6396
Practice Address - Street 1:2030 ADER RD
Practice Address - Street 2:
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-4500
Practice Address - Country:US
Practice Address - Phone:724-327-3557
Practice Address - Fax:724-325-6396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN490677200Medicaid
KY50006721Medicaid
IA0908715Medicaid
IN100210350AMedicaid
KY86000270Medicaid
PA01577779Medicaid
KY186924OtherBCBS
KYA3614715OtherOXFORD HEALTH PLAN
KY50006721Medicaid
KY50006721Medicaid
PA310377Medicare ID - Type UnspecifiedMEDICARE
PA01577779Medicaid
KYA3614715OtherOXFORD HEALTH PLAN
IA51259Medicare ID - Type UnspecifiedNORIDIAN
KY86000270Medicaid
MN490677200Medicaid
IN100210350AMedicaid
MN630000011Medicare ID - Type UnspecifiedMEDICARE