Organization Active NPI

Mobile Ultrasound Imaging, LLC

  • Mobile Radiology Clinic/Center
  • Melbourne, FL
National Provider Identifier
1619109162
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
MOBILE ULTRASOUND IMAGING, LLC
Practice address
233 E New Haven Ave
Melbourne, FL 32901-4571
Phone
(321) 777-4545
Fax
(321) 777-4565
NPI assigned
Aug 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Authorized official

Name
Mrs. Lyndsay Elizabeth Tyler, RDMS
Title
Owner, President, Managing Member
Phone
(321) 777-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

233 E New Haven Ave
Melbourne, FL 32901-4571

Mailing address

233 E New Haven Ave
Melbourne, FL 32901-4571
Phone (321) 777-4545

National Provider Directory

National Provider Directory

Locations

233 E New Haven Ave
Melbourne, FL 32901
Phone (321) 777-4545

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1619109162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E NEW HAVEN AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014571",
            "telephone_number": "321-777-4545",
            "fax_number": "321-777-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E NEW HAVEN AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014571",
            "telephone_number": "321-777-4545",
            "fax_number": "321-777-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE ULTRASOUND IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "LYNDSAY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER, PRESIDENT, MANAGING MEMBER",
        "authorized_official_telephone_number": "321-777-4545",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDMS"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.