Universal Imaging Services LLC

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

Legal business name

UNIVERSAL IMAGING SERVICES LLC

Practice address

13154 Coit Rd
#202
Dallas, TX 75240-5773

Phone

(443) 235-4991

NPI assigned

Sep 26, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Keith Mussog, RT (R)

Title

Ceo

Phone

(443) 235-4991

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1891122503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473080041",
            "telephone_number": "765-284-0493",
            "fax_number": "765-284-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13154 COIT RD",
            "address_2": "#202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405773",
            "telephone_number": "443-235-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL IMAGING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "MUSSOG",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-235-4991",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT (R)"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiologic Technologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Radiologic Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.