Advanced Mobile Imaging LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

ADVANCED MOBILE IMAGING LLC

Practice address

15 Stelling Ave
Maywood, NJ 07607-2124

Phone

(201) 338-0264

Fax

(866) 205-1988

NPI assigned

Jan 25, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Brion Esulto, R.T.

Title

Owner/Operator

Phone

(201) 338-0264

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1232841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1649418906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 STELLING AVE",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076072124",
            "telephone_number": "201-338-0264",
            "fax_number": "866-205-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STELLING AVE",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076072124",
            "telephone_number": "201-338-0264",
            "fax_number": "866-205-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MOBILE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-25",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "ESULTO",
        "authorized_official_first_name": "BRION",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "201-338-0264",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.T."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.