PREMIER MOBILE IMAGING, LLC (NPI# 1578128963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578128963 |
| Entity Type | Organization |
| Organization Name | PREMIER MOBILE IMAGING, LLC |
| Practice Address |
6323 Quailey Dr Se Grand Rapids MI 49546-7113 |
| Practice Telephone | 8122196562 |
| Mailing Telephone | 8122196562 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | CHRISTOPHER REESE JOHNSON (CEO) |
| Authorized Official Telephone | 8122196562 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
6323 QUAILEY DR SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-7113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 246XS1301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033739032 | Teather M Sebastian | Spec/Tech, Cardiovascular | 11134 Face Hwy, Nashville, MI 49073-9120 | 2020-04-20 |
| 1215463500 | Judd Dotson | Spec/Tech, Cardiovascular | 87 N Avery Rd, Waterford, MI 48328-2903 | 2017-05-04 |
| 1780139543 | Cardiovascular Ultrasound Solutions, LLC | Spec/Tech, Cardiovascular | 77 South 20th Street, Cardio Suite, Battle Creek, MI 49015 | 2016-08-22 |
| 1649556408 | Daljit Bath | Spec/Tech, Cardiovascular | 11475 Maple Valley Dr, Plymouth, MI 48170-6391 | 2011-10-25 |
| 1447332325 | Quality Imaging LLC | Spec/Tech, Cardiovascular | 31442 Hartford Dr, Warren, MI 48088-7307 | 2006-10-19 |
| 1942289038 | 2d Cardiac Imaging, Inc. | Spec/Tech, Cardiovascular | 3170 Christy Way, Suite 2, Saginaw, MI 48603-2256 | 2006-01-17 |
| 1588150064 | Echocardiography On Wheels, Lc | Spec/Tech, Cardiovascular | 120 Water St, Boyne City, MI 49712 | 2018-07-07 |
| 1811483571 | Tiffany Marie Faulknor | Spec/Tech, Cardiovascular | 120 Water St, Boyne City, MI 49712 | 2018-07-05 |
| 1811311418 | Crv Imaging Consultants, Inc. | Spec/Tech, Cardiovascular | 26711 Woodward Ave, Suite Ll-b, Huntington Woods, MI 48070-1333 | 2014-02-18 |
| 1346526100 | American Medical Diagnostic Services Inc | Spec/Tech, Cardiovascular | 11475 Maple Valley Dr, Plymouth, MI 48170-6391 | 2011-10-25 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on PREMIER MOBILE IMAGING, LLC.
| 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.