NPIMap

Organization Active NPI

Optimal Imaging LLC

  • Sonography Radiologic Technologist
  • Cary, NC
National Provider Identifier
1124254529
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
Legal business name
OPTIMAL IMAGING LLC
Practice address
1000 Centre Green Way Ste 200
Cary, NC 27513-2270
Phone
(919) 228-6366
NPI assigned
Jun 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Jenine Marie Ellis, RDMS
Title
Owner
Phone
(919) 228-6366

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471S1302X Primary
Point of Service 305S00000X 001731230 NC

Addresses

Primary practice location

1000 Centre Green Way Ste 200
Cary, NC 27513-2270

Mailing address

1000 Centre Green Way ,Ste 200
Cary, NC 27513-2270
Phone (919) 228-6366

Other names 1

  • Optimal Imaging Mobile Ultrasound Specialist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Optimal Imaging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1000 Centre Green Way
Ste 200
Cary, NC 27513
Phone (919) 228-6366

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1124254529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CENTRE GREEN WAY ,STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132270",
            "telephone_number": "919-228-6366",
            "fax_number": "919-228-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CENTRE GREEN WAY STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132270",
            "telephone_number": "919-228-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JENINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-228-6366",
        "authorized_official_credential": "RDMS"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NC",
            "license": "001731230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Imaging Mobile Ultrasound Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.