Organization Active NPI

Michigan Mobile Imaging, LLC

Doing business as Oakwood Michigan Mobil Imaging

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Dearborn, MI
National Provider Identifier
1679844963
Registry record updated Jan 19, 2012
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
MICHIGAN MOBILE IMAGING, LLC
Doing business as
Oakwood Michigan Mobil Imaging
Practice address
15500 Lundy Pkwy
Attn: Tammy Flynn (N201)
Dearborn, MI 48126-2778
Phone
(313) 586-5669
Fax
(313) 791-4563
NPI assigned
Jan 19, 2012
Last updated
Jan 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Mr. Timothy Vargas
Title
Corporate Director
Phone
(313) 593-7623

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X NU Primary
Other Specialist/Technologist 246Z00000X NU
Radiologic Technologist 247100000X NU
Sonography Radiologic Technologist 2471S1302X NU
Vascular Sonography Radiologic Technologist 2471V0105X NU

Addresses

Primary practice location

15500 Lundy Pkwy
Attn: Tammy Flynn (N201)
Dearborn, MI 48126-2778

Mailing address

15500 Lundy Pkwy
Attn: Tammy Flynn (N201)
Dearborn, MI 48126-2778
Phone (313) 586-5669

Other names 1

  • Oakwood Michigan Mobil Imaging Doing business as

National Provider Directory

National Provider Directory

Locations

15500 Lundy Pkwy
#N201
Dearborn, MI 48126
Phone (313) 586-5669

18100 Oakwood Blvd
Ste 101
Dearborn, MI 48124
Phone (313) 438-4664

729 W Ann Arbor Trl
Plymouth, MI 48170
Phone (734) 398-3444

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1679844963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15500 LUNDY PKWY",
            "address_2": "ATTN: TAMMY FLYNN (N201)",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262778",
            "telephone_number": "313-586-5669",
            "fax_number": "313-791-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15500 LUNDY PKWY",
            "address_2": "ATTN: TAMMY FLYNN (N201)",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262778",
            "telephone_number": "313-586-5669",
            "fax_number": "313-791-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN MOBILE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR",
        "authorized_official_telephone_number": "313-593-7623",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakwood Michigan Mobil Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.