Active NPI
Superior Mobile Diagnostics LLC
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Munising, MI
National Provider Identifier
1629795679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- 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, 2025
- 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
- Jessie Webster
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | |||
| Vascular Sonography Radiologic Technologist | 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 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
National Provider DirectoryPractitioners & 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.
-
- Sonography Radiologic Technologist
- Munising, MI
- NPI 1356061311
-
- Diagnostic Radiology Physician
- Ishpeming, MI
- NPI 1669449625
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
- George Schultz, R.P.H.
- Joseph Michael Shaw II, D.C.
- Natalie Martine Stark, O.T.R.L.
- Nicholas John Stocker, CCC-SLP
- Bridget Stoetzer
- Superior Mobile Sonography
- Superior Walk-in Center, PC (Superior Walk-In & Family Health)
- Superior Walk-in Center, PC
- Tendercare (Michigan) Inc. (Tendercare Health Center - Munising)
- Three Little Birds Counseling, LLC
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.