Organization Active NPI

Premier Mobile Imaging LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Omaha, NE
National Provider Identifier
1427395086
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
PREMIER MOBILE IMAGING LLC
Practice address
101 N 38TH Ave
Omaha, NE 68131-2301
Phone
(402) 558-1440
Fax
(402) 292-3203
NPI assigned
Jan 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Mrs. Trisha Sullivan
Title
Owner
Phone
(402) 706-1038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

101 N 38TH Ave
Omaha, NE 68131-2301

Mailing address

101 N 38TH Ave
Omaha, NE 68131-2301
Phone (402) 558-1440

National Provider Directory

National Provider Directory

Locations

101 N 38th Ave
Omaha, NE 68131
Phone (402) 558-1440

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1427395086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 38TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312301",
            "telephone_number": "402-558-1440",
            "fax_number": "402-292-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 38TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312301",
            "telephone_number": "402-558-1440",
            "fax_number": "402-292-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MOBILE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-706-1038",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.