NPIMap

Organization Active NPI

Professional Sonographic Imaging

  • Mobile Radiology Clinic/Center
  • Dyersburg, TN
National Provider Identifier
1194121764
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
17398 Issued in TN
Legal business name
PROFESSIONAL SONOGRAPHIC IMAGING
Practice address
1505 Woodlawn Ave
Suite B
Dyersburg, TN 38024-3145
Phone
(731) 676-7635
Fax
(731) 334-5608
NPI assigned
Nov 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Mrs. Elisa Dawn Talwar, RDMS R.T.NPI 1699179770
Title
Medical Sonographer, Radiographer
Phone
(731) 676-7635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X 17398 TN Primary

Addresses

Primary practice location

1505 Woodlawn Ave
Suite B
Dyersburg, TN 38024-3145

Mailing address

1505 Woodlawn Ave
Suite B
Dyersburg, TN 38024-3145
Phone (731) 676-7635

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1194121764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WOODLAWN AVE",
            "address_2": "SUITE B",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243145",
            "telephone_number": "731-676-7635",
            "fax_number": "731-334-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WOODLAWN AVE",
            "address_2": "SUITE B",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243145",
            "telephone_number": "731-676-7635",
            "fax_number": "731-334-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SONOGRAPHIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "TALWAR",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "MEDICAL SONOGRAPHER, RADIOGRAPHER",
        "authorized_official_telephone_number": "731-676-7635",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDMS R.T."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "TN",
            "license": "17398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.