City Mobile Ultrasound, LLC

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

CITY MOBILE ULTRASOUND, LLC

Practice address

524 Richmond Dr SE
Albuquerque, NM 87106-2328

Phone

(504) 512-3237

NPI assigned

Jan 17, 2020

Organization subpart

No

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

Authorized official

Name

Miss Judith Breckenridge, RDMS, RVT, RDCS

Title

Owner

Phone

(504) 512-3237

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1124658299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308A CAMINO DEL SOL",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322568",
            "telephone_number": "504-512-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 RICHMOND DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062328",
            "telephone_number": "504-512-3237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308A Camino Del Sol",
            "address_purpose": "LOCATION",
            "city": "Espanola",
            "state": "NM",
            "postal_code": "875322568",
            "country_code": "US",
            "telephone_number": "504-512-3237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITY MOBILE ULTRASOUND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "BRECKENRIDGE",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-512-3237",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RDMS, RVT, RDCS"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Cisneros
• Jo Marie Cito, RPH
• Stephen Michael Cito Jr., DDS
• Stephen Michael Cito, DDS
• City Mobile Group, LLC
• City of Albuquerque
• Gina M Civerolo, M.A. LPCC DAPA
• Donna A Cizmadia, PT
• CJM Enterprise LLC
• Richard T. Claiborne, O.D.

• Diagnostic Ultrasound Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Diagnostic Ultrasound Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.