Active NPI
Midwest Mobile Ultrasound
- Mobile Radiology Clinic/Center
- West Chicago, IL
National Provider Identifier
1558508705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- MIDWEST MOBILE ULTRASOUND
- Practice address
- 245 W Roosevelt Rd
Unit 77 Building 11
West Chicago, IL 60185-3739 - Phone
- (630) 293-8718
- Fax
- (630) 293-8724
- NPI assigned
- Jan 9, 2009
- 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. Gregory D Ashby
- Title
- President/Ceo
- Phone
- (812) 425-4681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | IN | Primary |
Addresses
Primary practice location
245 W Roosevelt Rd
Unit 77 Building 11
West Chicago, IL 60185-3739
Mailing address
1031 Mount Auburn Rd
Evansville, IN 47720-8226
Phone (812) 425-4681
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231459200000",
"number": "1558508705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 MOUNT AUBURN RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477208226",
"telephone_number": "812-425-4681",
"fax_number": "812-425-2564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 W ROOSEVELT RD",
"address_2": "UNIT 77 BUILDING 11",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601853739",
"telephone_number": "630-293-8718",
"fax_number": "630-293-8724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST MOBILE ULTRASOUND",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-09",
"last_updated": "2009-01-09",
"status": "A",
"authorized_official_last_name": "ASHBY",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "812-425-4681",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.