Asm Imaging Sources LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ASM IMAGING SOURCES LLC

Practice address

801 W Bay Dr Ste 506
Largo, FL 33770-3278

Phone

(217) 377-2949

NPI assigned

Nov 14, 2021

Organization subpart

No

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

Authorized official

Name

Altovise Shannell Moorer

Title

Echo Tech

Phone

(217) 377-2949

Specialties & licenses 1

Addresses

Other names 1

• ASM Imaging Sources LLC Other name

Locations

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

{
    "created_epoch": "1636848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636848000000",
    "number": "1821754847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 ROSERY RD NW APT 4324",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337701267",
            "telephone_number": "217-377-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BAY DR STE 506",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703278",
            "telephone_number": "217-377-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASM IMAGING SOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-14",
        "last_updated": "2021-11-14",
        "certification_date": "2021-11-14",
        "status": "A",
        "authorized_official_last_name": "MOORER",
        "authorized_official_first_name": "ALTOVISE",
        "authorized_official_middle_name": "SHANNELL",
        "authorized_official_title_or_position": "ECHO TECH",
        "authorized_official_telephone_number": "217-377-2949"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASM Imaging Sources LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Health Service Clinic/Center in Largo, FL
• Providers in Largo, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.