Organization Active NPI

Midwest Mobile Ultrasound

  • Mobile Radiology Clinic/Center
  • West Chicago, IL
National Provider Identifier
1558508705
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
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

Updated by the provider on Jan 9, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.