Pure Image Mobile Ultrasound

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PURE IMAGE MOBILE ULTRASOUND

Practice address

1820 W 17TH St
Yuma, AZ 85364-5203

Phone

(928) 276-4917

Fax

(928) 504-6003

NPI assigned

Dec 3, 2014

Organization subpart

No

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

Authorized official

Name

Quanesha Michelle Morgan

Title

Director of Ultrasound

Phone

(909) 251-5978

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1821495060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W 17TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853645203",
            "telephone_number": "928-276-4917",
            "fax_number": "928-504-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W 17TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853645203",
            "telephone_number": "928-276-4917",
            "fax_number": "928-504-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE IMAGE MOBILE ULTRASOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "QUANESHA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF ULTRASOUND",
        "authorized_official_telephone_number": "909-251-5978"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Pugliese, RN
• Joncy Johny Pulickal, FNP-C
• Estrella Pulido
• Wilbur Pulido, DBA
• Pulmonary Diagnostic Specialists P.L.L.C.
• Pure Image Mobile Ultrasound Group LLC
• Cathrine Maureen Putman, C.PED.
• James Edward Putman, PT
• Abdul Qadeer, MBBS
• Quadra Medical LLC

• Skilled Nursing Facility in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.