Ultra Image Medical Diagnostics and Associates LLC

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

Legal business name

ULTRA IMAGE MEDICAL DIAGNOSTICS AND ASSOCIATES LLC

Practice address

3707 Main St
College Park, GA 30337-3544

Phone

(404) 855-2787

NPI assigned

Aug 31, 2021

Organization subpart

No

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

Authorized official

Name

Miss Keisha MurrayNPI 1407476013

Title

Manager

Phone

(404) 855-2787

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Keisha A Murray

  • Sonography Radiologic Technologist
  • College Park, GA
  • NPI 1407476013
  NPD Authorized official

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1831867381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 MAIN ST",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303373544",
            "telephone_number": "404-855-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 MAIN ST",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303373544",
            "telephone_number": "404-855-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA IMAGE MEDICAL DIAGNOSTICS AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-855-2787",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ultraimagemd@gmail.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "this end point is used for emails  regarding the company",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "emails",
            "address_1": "3707 Main St",
            "city": "College Park",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303373544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.