CITY MOBILE ULTRASOUND, LLC (NPI# 1124658299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124658299 |
Entity Type | Organization |
Organization Name | CITY MOBILE ULTRASOUND, LLC |
Practice Address |
524 Richmond Dr Se Albuquerque NM 87106-2328 |
Mailing Address |
308a Camino Del Sol Espanola NM 87532-2568 |
Practice Telephone | 5045123237 |
Mailing Telephone | 5045123237 |
Enumeration Date | 2020-01-17 |
Last Update Date | 2020-01-17 |
Authorized Official Name | MISS JUDITH BRECKENRIDGE (OWNER) |
Authorized Official Telephone | 5045123237 |
Authorized Official Credential | RDMS, RVT, RDCS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
N | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
N | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
308a Camino Del Sol, Espanola, NM 875322568 | 5045123237 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | CITY MOBILE ULTRASOUND, LLC | 524 Richmond Drive Se, Albuquerque, NM 87106-2328 |
Street Address |
524 RICHMOND DR SE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87106-2328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932736907 | City Mobile Group, LLC | Radiology | 524 Richmond Dr Se, Albuquerque, NM 87106-2328 | 2020-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
Find all providers in zip 87106 |
Taxonomy Code | 2085U0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Ultrasound |
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295823151 | Roger Cobban Sanders | Radiology | 4600 Montgomery Blvd Ne Ste 105a, Albuquerque, NM 87109-1292 | 2006-10-10 |
1316242381 | Kan-di-ki LLC | Radiology | 2501 Yale Blvd Se Ste 201, Albuquerque, NM 87106-4200 | 2011-01-21 |
City | ALBUQUERQUE |
Zip Code | 87106 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.