Mobile Diagnostic Imaging, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MOBILE DIAGNOSTIC IMAGING, LLC

Practice address

403 Canton Rd
Wintersville, OH 43953-3907

Phone

(740) 266-4908

Fax

(740) 264-4376

NPI assigned

Sep 4, 2008

Organization subpart

No

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

Authorized official

Name

George F. Wees

Title

Owner

Phone

(740) 266-4908

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1013165810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2461",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439530461",
            "telephone_number": "740-266-4908",
            "fax_number": "740-266-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 CANTON RD",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533907",
            "telephone_number": "740-266-4908",
            "fax_number": "740-264-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DIAGNOSTIC IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "WEES",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-266-4908"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001705585",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6803009000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07873168",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Maurer, MS CCC-SLP
• Lisa A McCourt, PTA
• Medical Services of America Inc (Medi Home Care)
• Jonathan Mihellis, PT
• Mobile Diagnostic Imaging LLC (Mdi Mobile Ultrasound)
• Alyssa Mondarez
• Cortney Renee Morelli, PTA 04889
• Joe Notarantonio, RPH
• Lori A Osso-Connor, PHARMD
• Debra L Owens

• Specialist in Wintersville, OH
• Providers in Wintersville, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.