Organization Active NPI

SKG Mobile Diagnostics, LLC

  • Sonography Specialist/Technologist Cardiovascular
  • Helotes, TX
National Provider Identifier
1336451202
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
Legal business name
SKG MOBILE DIAGNOSTICS, LLC
Practice address
14515 Panther PT
Helotes, TX 78023-4366
Phone
(210) 998-3377
Fax
(210) 688-2516
NPI assigned
Jul 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
Shawn K Grubbs, RDMS, RVT, RDCS
Title
Owner
Phone
(832) 563-7795

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Specialist/Technologist CardiovascularGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246XC2903X
Sonography Specialist/Technologist CardiovascularGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246XS1301X Primary

Addresses

Primary practice location

14515 Panther PT
Helotes, TX 78023-4366

Mailing address

16620 N US Highway 281
Suite 300
San Antonio, TX 78232-2327
Phone (210) 998-3377

National Provider Directory

National Provider Directory

Locations

10650 Culebra Rd
Ste 104
San Antonio, TX 78251
Phone (832) 563-7795

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1336451202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16620 N US HIGHWAY 281",
            "address_2": "SUITE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322327",
            "telephone_number": "210-998-3377",
            "fax_number": "210-616-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14515 PANTHER PT",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234366",
            "telephone_number": "210-998-3377",
            "fax_number": "210-688-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKG MOBILE DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "GRUBBS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-563-7795",
        "authorized_official_credential": "RDMS, RVT, RDCS"
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helotes, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.