Carolina Mobile Ultrasound, PLLC

Primary specialty

Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X

License

101091 Issued in NC

Legal business name

CAROLINA MOBILE ULTRASOUND, PLLC

Practice address

2566 Camareigh LN
Morganton, NC 28655-9314

Phone

(828) 413-7117

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tara Fleming Hallyburton, RDCS

Title

Member-Manager

Phone

(828) 413-7117

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285786749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 CAMAREIGH LN",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286559314",
            "telephone_number": "828-413-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 CAMAREIGH LN",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286559314",
            "telephone_number": "828-413-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MOBILE ULTRASOUND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALLYBURTON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "FLEMING",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "828-413-7117",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDCS"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "NC",
            "license": "101091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sonography Specialist/Technologist Cardiovascular in Morganton, NC
• Providers in Morganton, NC by specialty
• Sonography Specialist/Technologist Cardiovascular in North Carolina

• 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.