United Mobile Imaging Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

UNITED MOBILE IMAGING INC

Practice address

2554 Lewisville Clemmons Rd
Suite 201 Box 11
Clemmons, NC 27012-8110

Phone

(800) 983-9840

Fax

(800) 983-9841

NPI assigned

Aug 22, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul D Smith Jr., CEO

Title

President - Ceo

Phone

(800) 983-9840

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619083516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 LEWISVILLE CLEMMONS RD",
            "address_2": "SUITE 201 BOX 11",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128110",
            "telephone_number": "800-983-9840",
            "fax_number": "800-983-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 LEWISVILLE CLEMMONS RD",
            "address_2": "SUITE 201 BOX 11",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128110",
            "telephone_number": "800-983-9840",
            "fax_number": "800-983-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MOBILE IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT - CEO",
        "authorized_official_telephone_number": "800-983-9840",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409809",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498189",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ishik C Tuna, M.D.
• Kirk A Turner, DDS
• Tyler Groce OD, PLLC
• Andrea Dawn Stokes Underwood, DNP, FNP-C
• United Mobile Imaging Inc
• University Dental Associates Clemmons
• Rebecca Marie Urato
• Marina J. Vendrillo, M.S., LPCA, CRC
• Victoria Cunnea, DC, PLLC (Optimum Potential Chiropractic)
• David M Villanueva, D.O.

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.