Stat Mobile Imaging, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

STAT MOBILE IMAGING, LLC

Practice address

1515 Price Grange Rd
Stoneville, NC 27048-8294

Phone

(336) 399-6947

NPI assigned

Apr 23, 2008

Last updated

Apr 23, 2008By 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. Kenneth Brian Smith, R.T.(R)

Title

Radiologic Technologist

Phone

(336) 399-6947

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1114192952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 PRICE GRANGE RD",
            "city": "STONEVILLE",
            "state": "NC",
            "postal_code": "270488294",
            "telephone_number": "336-573-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PRICE GRANGE RD",
            "city": "STONEVILLE",
            "state": "NC",
            "postal_code": "270488294",
            "telephone_number": "336-399-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT MOBILE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "RADIOLOGIC TECHNOLOGIST",
        "authorized_official_telephone_number": "336-399-6947",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.T.(R)"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Stoneville, NC by specialty
• Mobile Radiology Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.