Organization Active NPI

Envision Diagnostic Ultrasound Imaging LLC

  • Radiology Clinic/Center
  • Flint, MI
National Provider Identifier
1003105420
Registry record updated Nov 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ENVISION DIAGNOSTIC ULTRASOUND IMAGING LLC
Practice address
G3500 Flushing Rd Ste 104
Flint, MI 48504-4247
Phone
(469) 269-4986
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Sandra Houston, RDMS
Title
President
Phone
(469) 269-4986

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary
Mobile Radiology Clinic/Center 261QR0208X

Addresses

Primary practice location

G3500 Flushing Rd Ste 104
Flint, MI 48504-4247

Mailing address

PO Box 7087
Flint, MI 48507-0087

Other identifiers 1

IdentifierTypeStateIssuer
197110301MedicaidTX

National Provider Directory

National Provider Directory

Locations

G3500 Flushing Rd
Ste 104
Flint, MI 48504
Phone (469) 269-4986

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762646400000",
    "number": "1003105420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7087",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485070087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3500 FLUSHING RD STE 104",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044247",
            "telephone_number": "469-269-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION DIAGNOSTIC ULTRASOUND IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-269-4986",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDMS"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197110301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.