Superior Mobile Imaging Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

6728121 Issued in AL

Legal business name

SUPERIOR MOBILE IMAGING INC

Practice address

1860 US Highway 43
Winfield, AL 35594-5062

Phone

(205) 412-4931

Fax

(205) 487-1114

NPI assigned

Mar 24, 2011

Last updated

Mar 24, 2011By 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

Mr. Eddie Lee Ayers, R.T.NPI 1700175411

Title

Radiologic Technologist

Phone

(205) 412-4931

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912206392. Details of each certification follow.

• CCN 01X0009817 Portable X-ray supplier · Active · Name & address match · Details

Portable X-ray supplier certification: CCN 01X0009817

Legal name

SUPERIOR MOBILE IMAGING, INC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Jun 21, 2011

Last certification

May 10, 2022

Ownership / control type

Individual

Facility address

1860 US Hwy 43
Winfield, AL 35594

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eddie Lee Ayers

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Winfield, AL
  • NPI 1700175411
  NPD Authorized official

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1912206392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 US HIGHWAY 43",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945062",
            "telephone_number": "205-412-4931",
            "fax_number": "205-487-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 US HIGHWAY 43",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945062",
            "telephone_number": "205-412-4931",
            "fax_number": "205-487-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MOBILE IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "RADIOLOGIC TECHNOLOGIST",
        "authorized_official_telephone_number": "205-412-4931",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.T."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "AL",
            "license": "6728121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Winfield, AL
• Providers in Winfield, AL by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.