Superior Mobile Diagnostics LLC
Organization Active NPI Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Munising, MI
NPI 1629795679 · NPPES record last updated Oct 17, 2025
Key facts
- NPI
- 1629795679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X
- Legal business name
- SUPERIOR MOBILE DIAGNOSTICS LLC
- Practice address
- N7760 Carmody Rd
Munising, MI 49862-9171 - Phone
- (906) 202-9378
- NPI assigned
- Oct 20, 2022
- Organization subpart
- No
Authorized official
- Name
- Jessie Webster
- Title
- Owner
- Phone
- (906) 202-9378
Practitioners 2
-
Niksa Vlasic, M.D.
-
Jessie Webster, RT, RDMS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221227000490 | MI | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9931579406 | Practice locations: Munising, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist |
2471S1302X | |||
| Vascular Sonography Radiologic Technologist |
2471V0105X | |||
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Yes |
Addresses
Primary practice location
N7760 Carmody Rd
Munising, MI 49862-9171
Mailing address
N7760 Carmody Rd
Munising, MI 49862-9171
Phone (906) 202-9378
Other providers in Munising, MI
- Sault Tribe of Chippewa Indians
- George Schultz
- Joseph Michael Shaw II
- Natalie Martine Stark
- Bridget Stoetzer
- Superior Mobile Sonography
- Superior Walk-in Center, PC
- Superior Walk-in Center, PC
- Tendercare (Michigan) Inc.
- Chelsea Teal Texter
All providers in Munising, MI · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.