MOBILE ECHOCARDIOGRAPHY INC (NPI# 1750406807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750406807 |
| Entity Type | Organization |
| Organization Name | MOBILE ECHOCARDIOGRAPHY INC |
| Practice Address |
4914 So Stone Crest Dr Murray UT 84107 |
| Mailing Address |
Po Box 571421 Murray UT 84157-1421 |
| Practice Telephone | 8015415225 |
| Mailing Telephone | 8015415225 |
| Mailing Fax Number | 8012652234 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | ALAN E FIDLER (PRES OWNER SONOGRAPHER) |
| Authorized Official Telephone | 8015415225 |
| Authorized Official Credential | RDCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
ARDMS132536 | UT | Technologists, Technicians & Other Technical Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MOBILE ECHOCARDIOGRAPHY INC. | 9125 Town Gate Lane, Bethesda, Maryland 20817 |
| Street Address |
4914 SO STONE CREST DR |
| City | MURRAY |
| State | UT |
| Zip Code | 84107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114097706 | Alan Eugene Fidler | Spec/Tech, Cardiovascular | 4914 So Stone Crest Dr, Murray, UT 84107 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 246XS1301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114097706 | Alan Eugene Fidler | Spec/Tech, Cardiovascular | 4914 So Stone Crest Dr, Murray, UT 84107 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326550328 | Alison Martin Holmes | Spec/Tech, Cardiovascular | 531 E North Hills Dr, Salt Lake City, UT 84103-3337 | 2017-10-30 |
| 1528211984 | Valerie Ann Lucking | Spec/Tech, Cardiovascular | 6202 Freedom Hill Way, Herriman, UT 84096-6987 | 2008-10-29 |
Please comment or provide details below to improve the information on MOBILE ECHOCARDIOGRAPHY INC.
| 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.