Mobile Tech Imaging LLC

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

MOBILE TECH IMAGING LLC

Practice address

201 Stembridge Rd
Lake Wales, FL 33898-9407

Phone

(863) 412-4698

NPI assigned

Apr 28, 2021

Organization subpart

No

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

Authorized official

Name

Pamela Sue WhiteheadNPI 1487236675

Title

Business Owner

Phone

(863) 412-4698

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Sue Whitehead

  • Diagnostic Ultrasound Physician
  • Lake Wales, FL
  • NPI 1487236675
  NPD Authorized official

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1821670852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 STEMBRIDGE RD",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338989407",
            "telephone_number": "863-412-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STEMBRIDGE RD",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338989407",
            "telephone_number": "863-412-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE TECH IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "863-412-4698"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid-Florida Dermatology Associates
• David Miller, RPH
• Elsie Pierce Miller, COTAL
• Mary Miller
• Richard S Miller, OD
• Mobile X Imaging
• Monica L. Vickers Associates
• Mary Elizabeth Monticello Powell, APRN
• Shameka Moore
• Matt Moraes, AA

• Diagnostic Ultrasound Physician in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Diagnostic Ultrasound Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.