NPIMap

Organization Active NPI

Preferred Mobile Imaging

  • Sonography Specialist/Technologist Cardiovascular
  • Laurinburg, NC
National Provider Identifier
1104121839
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
License
25204 Issued in NC
Legal business name
PREFERRED MOBILE IMAGING
Practice address
8680 Ashton Dr
Laurinburg, NC 28352-0710
Phone
(910) 318-3557
Fax
(910) 276-3291
NPI assigned
Jan 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Marsha G Jacobs, RCS, RVSNPI 1912208661
Title
Owner
Phone
(910) 318-3557

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Specialist/Technologist CardiovascularGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246XC2903X 25204 NC
Sonography Specialist/Technologist CardiovascularGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246XS1301X 25204 NC Primary
Sonography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471S1302X 25204 NC

Addresses

Primary practice location

8680 Ashton Dr
Laurinburg, NC 28352-0710

Mailing address

8680 Ashton Dr
Laurinburg, NC 28352-0710
Phone (910) 318-3557

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": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1104121839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8680 ASHTON DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283520710",
            "telephone_number": "910-318-3557",
            "fax_number": "910-276-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 ASHTON DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283520710",
            "telephone_number": "910-318-3557",
            "fax_number": "910-276-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED MOBILE IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-318-3557",
        "authorized_official_credential": "RCS, RVS"
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": "NC",
            "license": "25204",
            "primary": false
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "NC",
            "license": "25204",
            "primary": true
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NC",
            "license": "25204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.