Active NPI
Mobile Imaging Solutions, Inc.
- Radiologic Technologist
- Davis Junction, IL
National Provider Identifier
1992769277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- Legal business name
- MOBILE IMAGING SOLUTIONS, INC.
- Practice address
- 149 Harvest Glenn Dr
Davis Junction, IL 61020-9797 - Phone
- (815) 645-8985
- Fax
- (815) 645-8985
- NPI assigned
- Apr 13, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Andrea Lynn Miller, RT (R)
- Title
- President
- Phone
- (815) 645-8985
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | IL | Primary |
Addresses
Primary practice location
149 Harvest Glenn Dr
Davis Junction, IL 61020-9797
Mailing address
149 Harvest Glenn Dr
Davis Junction, IL 61020-9797
Phone (815) 645-8985
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992769277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 HARVEST GLENN DR",
"city": "DAVIS JUNCTION",
"state": "IL",
"postal_code": "610209797",
"telephone_number": "815-645-8985",
"fax_number": "815-645-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 HARVEST GLENN DR",
"city": "DAVIS JUNCTION",
"state": "IL",
"postal_code": "610209797",
"telephone_number": "815-645-8985",
"fax_number": "815-645-8985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE IMAGING SOLUTIONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-645-8985",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RT (R)"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davis Junction, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.