Organization
RUSSELL L. PALMER JR, R.T., B.S.
Active
Organization
RUSSELL L. PALMER JR, R.T., B.S.
Active
Other names
Alliance Mobile X-ray
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL LEON PALMER JR. R.T.,B.S. (OWNER)
(928) 777-9064
Entity
Organization
Contact information
Practice address
214 WHITE SPAR RD, PRESCOTT, AZ 86303-4236
(928) 777-9064
(928) 777-9183
Mailing address
1045 SCOTT DR, PRESCOTT, AZ 86301-1731
(928) 777-9064
(928) 777-9183
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
CRT-5873
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0722380
BLUECROSS/BLUESHIELD I.D.
AZ
01
—
630001733
RAILROAD MEDICARE NUMBER
AZ
Enumeration date
04/17/2006
Last updated
06/16/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up