ADVANCED MOBILE IMAGING, LLC (NPI# 1396779237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396779237 |
| Entity Type | Organization |
| Organization Name | ADVANCED MOBILE IMAGING, LLC |
| Practice Address |
75 New Haven Ave Milford CT 06460-4854 |
| Mailing Address |
Po Box 416 Milford CT 06460-0416 |
| Practice Telephone | 2038786768 |
| Practice Fax Number | 2038786087 |
| Mailing Telephone | 2038786768 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2016-08-31 |
| Authorized Official Name | MR. BRIAN F ELZIN (MANAGING MEMBER) |
| Authorized Official Telephone | 2038786768 |
| Authorized Official Credential | B.S., RDMS, RT ( |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
81408 | CT | Allopathic & Osteopathic Physicians |
| N | 2471B0102X |
Radiologic Technologist Specialization: Bone Densitometry |
003259 | CT | Technologists, Technicians & Other Technical Service Providers |
| N | 247200000X | Technician, Other | 003259 | CT | Technologists, Technicians & Other Technical Service Providers |
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 003259 | CT | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124266200 | Advanced Mobile Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 50 Cherry St, Suite L, Milford, CT 06460-3487 | 2009-01-28 |
| Street Address |
75 NEW HAVEN AVE |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-4854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407264351 | Psychiatric Health Associates, LLC | Nurse Practitioner | 75 New Haven Ave, Milford, CT 06460-4854 | 2014-07-23 |
| 1467651257 | Gregory John Sabatino | Chiropractor | 75 New Haven Ave, Milford, CT 06460-4854 | 2007-07-12 |
| 1902948144 | Philip B Rosenthal | Psychologist | 75 New Haven Ave, Milford, CT 06460-4854 | 2007-02-13 |
| 1073525887 | Michael Austin Baron | Pediatrics | 75 New Haven Ave, Milford, CT 06460-4854 | 2006-08-12 |
| 1669402426 | Nancy Nell Rosenblum | Social Worker | 75 New Haven Ave, Milford, CT 06460-4854 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124266200 | Advanced Mobile Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 50 Cherry St, Suite L, Milford, CT 06460-3487 | 2009-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740665843 | Hvra of Danbury, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 67 Sand Pit Rd Ste 102, Danbury, CT 06810-4032 | 2015-07-30 |
| 1184650830 | Burgess Health Associates, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 460 Smith St, Middletown, CT 06457-1594 | 2006-06-24 |
| 1649895152 | Pdi Health Ct LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 500 W Putnam Ave Ste 400, Greenwich, CT 06830-6096 | 2020-06-10 |
| 1497201941 | Preventive Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1 Grove St, 105, New Britain, CT 06053-4116 | 2016-08-25 |
| 1508043613 | Housatonic Valley Radiological Associates PC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 67 Sand Pit Rd, Suite 105, Danbury, CT 06810-4032 | 2008-01-31 |
| 1922126051 | Ct. Mobile Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 249 W Main St, C-3, Branford, CT 06405-4048 | 2007-03-27 |
| 1073570206 | Ct Mobile Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 249 W Main St, C-3, Branford, CT 06405-4048 | 2006-05-01 |
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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.