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Organization Active NPI

US Mobile Ultrasound

  • Radiologic Technologist
  • Brookeville, MD
National Provider Identifier
1396820916
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
21321 Issued in MD
Legal business name
US MOBILE ULTRASOUND
Practice address
2219 Carter Mill Way
Brookeville, MD 20833-3208
Phone
(240) 388-0346
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Wendy J Shoter
Title
Ceo
Phone
(240) 388-0346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 247100000X 21321 MD Primary

Addresses

Primary practice location

2219 Carter Mill Way
Brookeville, MD 20833-3208

Mailing address

2219 Carter Mill Way
Brookeville, MD 20833-3208
Phone (240) 388-0346

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396820916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 CARTER MILL WAY",
            "city": "BROOKEVILLE",
            "state": "MD",
            "postal_code": "208333208",
            "telephone_number": "240-388-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 CARTER MILL WAY",
            "city": "BROOKEVILLE",
            "state": "MD",
            "postal_code": "208333208",
            "telephone_number": "240-388-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US MOBILE ULTRASOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHOTER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-388-0346",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "MD",
            "license": "21321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookeville, MD

Sources for this page

  • 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.