Upper Cumberland Mobile Imaging, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

UPPER CUMBERLAND MOBILE IMAGING, LLC

Practice address

291 Lake LN
Cookeville, TN 38506-7936

Phone

(931) 267-0901

NPI assigned

Apr 4, 2011

Last updated

Apr 4, 2011By 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

Jessie Hitchcock

Title

Ultrasonographer

Phone

(931) 267-0901

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1073802682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 LAKE LN",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385067936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 LAKE LN",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385067936",
            "telephone_number": "931-267-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER CUMBERLAND MOBILE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "HITCHCOCK",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "ULTRASONOGRAPHER",
        "authorized_official_telephone_number": "931-267-0901"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upper Cumberland Human Resource Agency
• Upper Cumberland Human Resource Agency
• Upper Cumberland Human Resource Agency in-Home Services
• Upper Cumberland Laboratory, LLC
• Upper Cumberland Medical Associates, PLLC
• Upper Cumberland Oncology
• Upper Cumberland Oncology (Algis P Sidrys, MD)
• Upper Cumberland Orthopedic Surgery, PC
• Upper Cumberland Otolaryngology Clinic, PC
• Upper Cumberland Physicians Surgery Center LLC

• Mobile Radiology Clinic/Center in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Mobile Radiology Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.