Mobile Ultrasound LLC

Primary specialty

Vascular Specialist/Technologist CardiovascularTaxonomy code 246XC2903X

Legal business name

MOBILE ULTRASOUND LLC

Doing business as

Mobile Ultrasound of St. Louis

Practice address

10016 Office Center Ave
Suite 100a
Saint Louis, MO 63128-1468

Phone

(314) 272-4161

Fax

(314) 735-4418

NPI assigned

Jan 2, 2013

Last updated

Feb 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Holland

Title

Branch Manager

Phone

(314) 272-4161

Specialties & licenses 1

Addresses

Other names 1

• Mobile Ultrasound of St. Louis Doing business as

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1861738304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 N ELSTON AVE",
            "address_2": "SUITE 252",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185811",
            "telephone_number": "314-272-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10016 OFFICE CENTER AVE",
            "address_2": "SUITE 100A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281468",
            "telephone_number": "314-272-4161",
            "fax_number": "314-735-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE ULTRASOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "BRANCH MANAGER",
        "authorized_official_telephone_number": "314-272-4161"
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Ultrasound of St. Louis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cardiovascular Specialist/Technologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Cardiovascular Specialist/Technologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.