Organization Active NPI

Superior Mobile Diagnostics LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Munising, MI
National Provider Identifier
1629795679
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 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
Last updated
Oct 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Jessie WebsterNPI 1356061311
Title
Owner
Phone
(906) 202-9378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471S1302X
Vascular Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471V0105X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

N7760 Carmody Rd
Munising, MI 49862-9171

Mailing address

N7760 Carmody Rd
Munising, MI 49862-9171
Phone (906) 202-9378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221227000490 MI Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9931579406 Practice locations: Munising, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1629795679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N7760 CARMODY RD",
            "city": "MUNISING",
            "state": "MI",
            "postal_code": "498629171",
            "telephone_number": "906-202-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N7760 CARMODY RD",
            "city": "MUNISING",
            "state": "MI",
            "postal_code": "498629171",
            "telephone_number": "906-202-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MOBILE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-202-9378"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munising, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.