Dysphagia Mobile Imaging, Inc.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

DYSPHAGIA MOBILE IMAGING, INC.

Practice address

2315 Central Ave Ste C
Augusta, GA 30904-6246

Phone

(706) 496-2161

Fax

(866) 902-8686

NPI assigned

Mar 14, 2008

Organization subpart

No

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

Authorized official

Name

Gordon Jones, DHA

Title

President

Phone

(706) 496-2161

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1124299490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 CENTRAL AVE STE C",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046246",
            "telephone_number": "706-496-2161",
            "fax_number": "866-902-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 CENTRAL AVE STE C",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046246",
            "telephone_number": "706-496-2161",
            "fax_number": "866-902-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYSPHAGIA MOBILE IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-496-2161",
        "authorized_official_credential": "DHA"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mobile Radiology Clinic/Center in Augusta, GA
• Providers in Augusta, GA by specialty
• Mobile Radiology Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.