Active NPI
United Mobile Imaging Inc
- Diagnostic Ultrasound Physician
- Clemmons, NC
National Provider Identifier
1366752487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- Legal business name
- UNITED MOBILE IMAGING INC
- Practice address
- 2554 Lewisville Clemmons Rd
Suite 201 Box 11
Clemmons, NC 27012-8110 - Phone
- (800) 983-9840
- Fax
- (800) 983-9841
- NPI assigned
- Oct 8, 2010
- Last updated
- Oct 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul Darryl Smith Jr.
- Title
- President/Ceo
- Phone
- (336) 403-3152
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | Primary |
Addresses
Primary practice location
2554 Lewisville Clemmons Rd
Suite 201 Box 11
Clemmons, NC 27012-8110
Mailing address
2554 Lewisville Clemmons Rd
Suite 201 Box 11
Clemmons, NC 27012-8110
Phone (800) 983-9840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3409809 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286496000000",
"number": "1366752487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2554 LEWISVILLE CLEMMONS RD",
"address_2": "SUITE 201 BOX 11",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128110",
"telephone_number": "800-983-9840",
"fax_number": "800-983-9841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2554 LEWISVILLE CLEMMONS RD",
"address_2": "SUITE 201 BOX 11",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128110",
"telephone_number": "800-983-9840",
"fax_number": "800-983-9841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED MOBILE IMAGING INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-08",
"last_updated": "2010-10-08",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "DARRYL",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "336-403-3152",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409809",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clemmons, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.