Active NPI
Envision Diagnostic Ultrasound Imaging LLC
- Radiology Clinic/Center
- Flint, MI
National Provider Identifier
1003105420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197110301 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.