Organization Active NPI

Mobile Ultrasound Services Inc

  • Physiological Laboratory
  • Memphis, TN
National Provider Identifier
1043371834
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
MOBILE ULTRASOUND SERVICES INC
Practice address
5130 Wheelis Dr
Suite 1
Memphis, TN 38117-4520
Phone
(901) 347-0607
Fax
(901) 347-0339
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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

Authorized official

Name
Ms. Rima K Block, RDMS RVT RDCS
Title
Presdient
Phone
(901) 347-0607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

5130 Wheelis Dr
Suite 1
Memphis, TN 38117-4520

Mailing address

5130 Wheelis Dr
Suite 1
Memphis, TN 38117-4520
Phone (901) 347-0607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070424000213 MS Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3274638044 Practice locations: Memphis, TN; Oxford, MS
O20070510000552 TN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3274638044 Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

2542 Ridgeway Rd
Ste 3
Memphis, TN 38119
Phone (901) 347-0607

5130 Wheelis Dr
Ste 1
Memphis, TN 38117
Phone (901) 347-0607

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503014400000",
    "number": "1043371834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 WHEELIS DR",
            "address_2": "SUITE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174520",
            "telephone_number": "901-347-0607",
            "fax_number": "901-347-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 WHEELIS DR",
            "address_2": "SUITE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174520",
            "telephone_number": "901-347-0607",
            "fax_number": "901-347-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE ULTRASOUND SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2017-08-18",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "RIMA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESDIENT",
        "authorized_official_telephone_number": "901-347-0607",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDMS RVT RDCS"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.