Organization Active NPI

Mobile Imaging Solutions, Inc.

  • Radiologic Technologist
  • Davis Junction, IL
National Provider Identifier
1992769277
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.