OrganizationActive
Russell L. Palmer Jr, R.t., B.s.
NPI 1245295021 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Prescott, AZ
Provider details
- NPI number
- 1245295021
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Russell Palmer, Owner(928) 777-9064
- License
- CRT-5873 (AZ)
Specialties & taxonomies
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierPrimary335V00000XLicense CRT-5873 (AZ)
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
214 White Spar Rd
Prescott, AZ 86303-4236
Phone: (928) 777-9064
Fax: (928) 777-9183
Street-level locationGet directions
Mailing address
1045 Scott Dr
Prescott, AZ 86301-1731
Other names (DBA / former)
- Doing business as
- Alliance Mobile X-Ray
Registry dates
- Enumerated
- 2006-04-17
- Last updated
- 2008-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.