Organization Active NPI

Quality Mobile Ultrasound LLC

  • Vascular Sonography Radiologic Technologist
  • Stonewall, LA
National Provider Identifier
1831417823
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X
License
119468 Issued in LA
Legal business name
QUALITY MOBILE ULTRASOUND LLC
Practice address
275 Clinton Dr
Stonewall, LA 71078-5405
Phone
(225) 235-1710
Fax
(888) 880-6308
NPI assigned
May 14, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jennifer Evans, RDCS, RVTNPI 1366767071
Title
Sonographer
Phone
(225) 235-1710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist CardiovascularGroup: 193200000X MULTI-SPECIALTY GROUP 246XS1301X 119468 LA
Vascular Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471V0105X 119468 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

275 Clinton Dr
Stonewall, LA 71078-5405

Mailing address

275 Clinton Dr
Stonewall, LA 71078-5405
Phone (225) 235-1710

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2010.

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1831417823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CLINTON DR",
            "city": "STONEWALL",
            "state": "LA",
            "postal_code": "710785405",
            "telephone_number": "225-235-1710",
            "fax_number": "888-880-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CLINTON DR",
            "city": "STONEWALL",
            "state": "LA",
            "postal_code": "710785405",
            "telephone_number": "225-235-1710",
            "fax_number": "888-880-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY MOBILE ULTRASOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SONOGRAPHER",
        "authorized_official_telephone_number": "225-235-1710",
        "authorized_official_credential": "RDCS, RVT"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "LA",
            "license": "119468",
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "LA",
            "license": "119468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stonewall, LA

Sources for this page

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