NPIMap

Organization Active NPI

Ultramobile Imaging Inc.

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Rochester, NY
National Provider Identifier
1477670883
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
27021011 Issued in NY
Legal business name
ULTRAMOBILE IMAGING INC.
Practice address
1465 Jefferson Rd
Rochester, NY 14623-3149
Phone
(585) 424-6270
Fax
(585) 424-6274
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Mr. William Irwin
Title
Owner
Phone
(585) 424-6270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 27021011 NY Primary

Addresses

Primary practice location

1465 Jefferson Rd
Rochester, NY 14623-3149

Mailing address

1465 Jefferson Rd
Rochester, NY 14623-3149
Phone (585) 424-6270

Other identifiers 1

IdentifierTypeStateIssuer
01762514MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050224000850 NY Part B Supplier - Portable X-Ray Supplier 6406809961 Practice locations: Rochester, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ultramobile Imaging Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1477670883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 JEFFERSON RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233149",
            "telephone_number": "585-424-6270",
            "fax_number": "585-424-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 JEFFERSON RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233149",
            "telephone_number": "585-424-6270",
            "fax_number": "585-424-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRAMOBILE IMAGING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-424-6270",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NY",
            "license": "27021011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01762514",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.