NPIMap

Organization Active NPI

Mobile Ultrasound LLC

Doing business as Mobile Ultrasound of Indianapolis

  • Vascular Specialist/Technologist Cardiovascular
  • Indianapolis, IN
National Provider Identifier
1063758506
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Specialist/Technologist CardiovascularTaxonomy code 246XC2903X
Legal business name
MOBILE ULTRASOUND LLC
Doing business as
Mobile Ultrasound of Indianapolis
Practice address
3388 Founders Rd
Suite a
Indianapolis, IN 46268-1443
Phone
(317) 471-8553
Fax
(888) 288-6070
NPI assigned
Jan 2, 2013
Last updated
May 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Authorized official

Name
Ms. Nicole Davis
Title
Branch Manager
Phone
(317) 682-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Specialist/Technologist CardiovascularGroup: 193200000X MULTI-SPECIALTY GROUP 246XC2903X Primary

Addresses

Primary practice location

3388 Founders Rd
Suite a
Indianapolis, IN 46268-1443

Mailing address

3319 N Elston Ave
Suite 252
Chicago, IL 60618-5811
Phone (317) 471-8553

Other names 1

  • Mobile Ultrasound of Indianapolis Doing business as

National Provider Directory

National Provider Directory

Locations

3388 Founders Rd
Ste A
Indianapolis, IN 46268
Phone (317) 471-8553

3388 Founders Rd
Ste C1
Indianapolis, IN 46268
Phone (317) 471-8553

8780 Purdue Rd
Ste 7A
Indianapolis, IN 46268
Phone (317) 682-7300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1063758506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 N ELSTON AVE",
            "address_2": "SUITE 252",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185811",
            "telephone_number": "317-471-8553",
            "fax_number": "888-288-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3388 FOUNDERS RD",
            "address_2": "SUITE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681443",
            "telephone_number": "317-471-8553",
            "fax_number": "888-288-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE ULTRASOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "BRANCH MANAGER",
        "authorized_official_telephone_number": "317-682-7300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Ultrasound of Indianapolis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.