Active NPI
Mobile Ultrasound Imaging, LLC
- Mobile Radiology Clinic/Center
- Melbourne, FL
National Provider Identifier
1619109162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.