Organization Active NPI

Convenient Ultrasounds

  • Mobile Radiology Clinic/Center
  • Fishers, IN
National Provider Identifier
1063013761
Registry record updated Nov 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
CONVENIENT ULTRASOUNDS
Practice address
10822 Lantern View Dr Apt 307
Fishers, IN 46038-4204
Phone
(916) 216-4410
NPI assigned
Nov 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2020

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

Authorized official

Name
Dmitri ZaichenkoNPI 1518566223
Title
Owner
Phone
(765) 400-1401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10822 Lantern View Dr Apt 307
Fishers, IN 46038-4204

Mailing address

10822 Lantern View Dr Apt 307
Fishers, IN 46038-4204
Phone (916) 216-4410

National Provider Directory

National Provider Directory

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": "1604793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605916800000",
    "number": "1063013761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10822 LANTERN VIEW DR APT 307",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384204",
            "telephone_number": "916-216-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10822 LANTERN VIEW DR APT 307",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384204",
            "telephone_number": "916-216-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT ULTRASOUNDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-08",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A",
        "authorized_official_last_name": "ZAICHENKO",
        "authorized_official_first_name": "DMITRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-400-1401"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.