Active NPI
Upscale Ultrasound & Mobile 3D 4D, LLC
- Radiology Clinic/Center
- Ponte Vedra, FL
National Provider Identifier
1942751110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- 134780
- Legal business name
- UPSCALE ULTRASOUND & MOBILE 3D 4D, LLC
- Practice address
- 145 Hilden Rd
Ste 113
Ponte Vedra, FL 32081-8401 - Phone
- (904) 465-9062
- NPI assigned
- Oct 21, 2016
- Organization subpart
- Yes
- Parent organization
- UPSCALE ULTRASOUND
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leah R Carroll, RDMS
- Title
- Owner
- Phone
- (904) 465-9062
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 134780 | FL | Primary |
Addresses
Primary practice location
145 Hilden Rd
Ste 113
Ponte Vedra, FL 32081-8401
Mailing address
145 Hilden Rd
Ste 113
Ponte Vedra, FL 32081-8401
Phone (904) 465-9062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871951244 | Other | FL | INDIVIDUAL NPI |
National Provider Directory
National Provider Directory- Part of
- Upscale Ultrasound Mobile 3D 4D LLC
Locations
145 Hilden Rd
Ste 113
Ponte Vedra Beach, FL 32081
Phone (904) 465-9062
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sonography Radiologic Technologist
- Ponte Vedra, FL
- NPI 1871951244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477008000000",
"number": "1942751110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 HILDEN RD",
"address_2": "STE 113",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320818401",
"telephone_number": "904-465-9062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 HILDEN RD",
"address_2": "STE 113",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320818401",
"telephone_number": "904-465-9062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPSCALE ULTRASOUND & MOBILE 3D 4D, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UPSCALE ULTRASOUND",
"enumeration_date": "2016-10-21",
"last_updated": "2016-10-21",
"status": "A",
"authorized_official_last_name": "CARROLL",
"authorized_official_first_name": "LEAH",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-465-9062",
"authorized_official_credential": "RDMS"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "FL",
"license": "134780",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1871951244",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ponte Vedra, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.