NPIMap

Organization Active NPI

Aero on-Site Imaging, Corp.

  • Sonography Radiologic Technologist
  • Lake Odessa, MI
National Provider Identifier
1861753915
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
132394 Issued in MI
Legal business name
AERO ON-SITE IMAGING, CORP.
Practice address
7769 Woodland Rd
Lake Odessa, MI 48849-9323
Phone
(269) 838-5865
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Authorized official

Name
Mrs. Lori Lynn Potter, ARDMSNPI 1053743435
Title
Ceo/Sonographer
Phone
(269) 838-5865

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471S1302X 132394 MI Primary
Vascular Sonography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471V0105X

Addresses

Primary practice location

7769 Woodland Rd
Lake Odessa, MI 48849-9323

Mailing address

7769 Woodland Rd
Lake Odessa, MI 48849-9323
Phone (269) 838-5865

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1861753915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7769 WOODLAND RD",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488499323",
            "telephone_number": "269-838-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7769 WOODLAND RD",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488499323",
            "telephone_number": "269-838-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AERO ON-SITE IMAGING, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO/SONOGRAPHER",
        "authorized_official_telephone_number": "269-838-5865",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARDMS"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "MI",
            "license": "132394",
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Odessa, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.