Diagnostic Mobile Imaging, LLC

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

25MA06445700 Issued in NJ

Legal business name

DIAGNOSTIC MOBILE IMAGING, LLC

Practice address

2333 Morris Ave
Suite C3
Union, NJ 07083-5714

Phone

(732) 423-4603

Fax

(732) 442-7327

NPI assigned

May 12, 2006

Last updated

Aug 22, 2020By 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

Ernest Williams, UT

Title

Tech/Owner

Phone

(732) 423-4603

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255382487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 WASHINGTON ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613454",
            "telephone_number": "732-423-4603",
            "fax_number": "732-442-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE",
            "address_2": "SUITE C3",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835714",
            "telephone_number": "732-423-4603",
            "fax_number": "732-442-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC MOBILE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "TECH/OWNER",
        "authorized_official_telephone_number": "732-423-4603",
        "authorized_official_credential": "UT"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NJ",
            "license": "25MA06445700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Ultrasound Physician in Union, NJ
• Providers in Union, NJ by specialty
• Diagnostic Ultrasound Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.