Advanced Mobile Imaging, LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

003259 Issued in CT

Legal business name

ADVANCED MOBILE IMAGING, LLC

Practice address

50 Cherry St
Suite L
Milford, CT 06460-3487

Phone

(203) 878-6768

Fax

(203) 878-6087

NPI assigned

Jan 28, 2009

Last updated

Jan 28, 2009By 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. Brian F Elzin, B.S.,RDMS, RT(R)

Title

Managing Member

Phone

(203) 878-6768

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1124266200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064600416",
            "telephone_number": "203-878-6768",
            "fax_number": "203-878-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CHERRY ST",
            "address_2": "SUITE L",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603487",
            "telephone_number": "203-878-6768",
            "fax_number": "203-878-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MOBILE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "ELZIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "203-878-6768",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S.,RDMS, RT(R)"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "CT",
            "license": "003259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Milford, CT
• Providers in Milford, CT by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.