Foundation Health Mobile Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

FOUNDATION HEALTH MOBILE IMAGING, LLC

Doing business as

Foundation Mobile 1

Practice address

2000 Wellness Blvd
Suite 110
Monroe, NC 28110-7764

Phone

(704) 316-1180

Fax

(704) 316-1181

NPI assigned

Nov 4, 2010

Last updated

Nov 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel J Schaefer

Title

Coo

Phone

(770) 300-0101

Specialties & licenses 1

Addresses

Other names 1

• Foundation Mobile 1 Doing business as

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1043511231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 933559",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311933559",
            "telephone_number": "336-659-1211",
            "fax_number": "336-774-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WELLNESS BLVD",
            "address_2": "SUITE 110",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107764",
            "telephone_number": "704-316-1180",
            "fax_number": "704-316-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION HEALTH MOBILE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-300-0101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundation Mobile 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Forsyth Medical Group LLC (Queen City Ear Nose and Throat)
• Adam W Fosnaugh, M.D.
• Chelsea Nicole Foster, PT
• Michelle Lynette Foster, MD
• Bethany Fosu, MD
• Foundations Diagnostic Laboratory LLC
• Fox Counseling and Consulting, PLLC
• Bryce Michael Fox, PHARMD
• Carolyn Franks, AUD, CCC-A
• Lynn Little Frederick, RN

• Diagnostic Radiology Physician in Monroe, NC
• Providers in Monroe, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.