Portable Diagnostic Ultrasound Imaging, Inc.

Primary specialty

Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X

License

0000010812 Issued in MI

Legal business name

PORTABLE DIAGNOSTIC ULTRASOUND IMAGING, INC.

Practice address

21751 W 11 Mile Rd
Suite 110
Southfield, MI 48076-3712

Phone

(248) 872-6262

Fax

(248) 671-5363

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Eleonora Rabkin, RCS

Title

President

Phone

(248) 872-6262

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1861445439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5584 PEMBURY",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224011",
            "telephone_number": "248-872-6262",
            "fax_number": "248-671-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21751 W 11 MILE RD",
            "address_2": "SUITE 110",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763712",
            "telephone_number": "248-872-6262",
            "fax_number": "248-671-5363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5584 Pembury",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483224011",
            "country_code": "US",
            "telephone_number": "248-872-6262",
            "fax_number": "248-671-5363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PORTABLE DIAGNOSTIC ULTRASOUND IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "RABKIN",
        "authorized_official_first_name": "ELEONORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-872-6262",
        "authorized_official_credential": "RCS"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "MI",
            "license": "0000010812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Michelle Pope, TLLP
• Angela Popoff, LMSW
• Mellannie Roshelle Porch-Doneghy, MA, LPC
• Jennifer Porco, NP
• Angad Singh Pordal, MD
• Adrianna Porter
• Matthew William Porter, MD
• Madison Ciara Porterfield
• Harold Portnoy, M.D.
• Steven Mark Portnoy, MA

• Sonography Specialist/Technologist Cardiovascular in Southfield, MI
• Providers in Southfield, MI by specialty
• Sonography Specialist/Technologist Cardiovascular in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.