Platte Valley Mobile Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PLATTE VALLEY MOBILE IMAGING LLC

Practice address

2900 W E St
North Platte, NE 69101-4899

Phone

(308) 534-2200

NPI assigned

Feb 18, 2025

Organization subpart

No

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

Authorized official

Name

Samantha Destefano

Title

Ceo

Phone

(308) 660-3397

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.

• Levi Austin Destafano

  • Electroneurodiagnostic Specialist/Technologist
  • Auburn, AL
  • NPI 1497617815
  NPD

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1851196299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20000 E FORT MCPHERSON RD",
            "city": "MAXWELL",
            "state": "NE",
            "postal_code": "691511032",
            "telephone_number": "308-660-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W E ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691014899",
            "telephone_number": "308-534-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 W Philip Ave",
            "address_purpose": "LOCATION",
            "city": "North Platte",
            "state": "NE",
            "postal_code": "691010305",
            "country_code": "US",
            "telephone_number": "308-532-5774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLATTE VALLEY MOBILE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "DESTEFANO",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-660-3397"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Betty Piquette, PHARMD
• Platte River Home Care, LLC
• Platte River Nephrology LLC
• Platte River Rehab Medicine P.C.
• Platte Valley Counseling, LLC
• Platte Valley Physical Therapy, LLC
• Platte Valley Womens Healthcare, PC
• Michael Louis Pochop, MD
• Teri Pokorny
• Lacey Pollard

• Diagnostic Radiology Physician in North Platte, NE
• Providers in North Platte, NE by specialty
• Diagnostic Radiology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.