City Mobile Group, LLC

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

CITY MOBILE GROUP, LLC

Practice address

524 Richmond Dr SE
Albuquerque, NM 87106-2328

Phone

(504) 512-3237

NPI assigned

Mar 26, 2020

Last updated

Mar 26, 2020By 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

Judith Breckenridge, RDMS, RVT, RDCS

Title

Owner

Phone

(504) 512-3237

Specialties & licenses 4

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1932736907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308A CAMINO DEL SOL",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322568",
            "telephone_number": "504-512-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 RICHMOND DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062328",
            "telephone_number": "504-512-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY MOBILE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "BRECKENRIDGE",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-512-3237",
        "authorized_official_credential": "RDMS, RVT, RDCS"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246W00000X",
            "taxonomy_group": "",
            "desc": "Technician, Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246XC2903X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Connect",
            "affiliation": "N",
            "endpointDescription": "Connect",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Connect URL",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Connect URL",
            "address_1": "524 Richmond Dr SE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871062328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julian Cisneros, OTA
• Kyle Cisneros
• Jo Marie Cito, RPH
• Stephen Michael Cito Jr., DDS
• Stephen Michael Cito, DDS
• City Mobile Ultrasound, LLC
• City of Albuquerque
• Gina M Civerolo, M.A. LPCC DAPA
• Donna A Cizmadia, PT
• CJM Enterprise LLC

• Diagnostic Ultrasound Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Diagnostic Ultrasound Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.