ULTRACARE MOBILE DIAGNOSTIC IMAGING LLC NPI 1346573839

NPI Information

  • NPI: 1346573839
  • Provider Name: ULTRACARE MOBILE DIAGNOSTIC IMAGING LLC
  • Classification: Radiologic Technologist - 2471S1302X
  • Specialization: Sonography
  • Entity Type: Organization
  • Address: 4181 IONA ST
    TITUSVILLE, FL
    ZIP 32796
  • Phone: (321) 795-7396

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NPI Details

ULTRACARE MOBILE DIAGNOSTIC IMAGING LLC is a sonography radiologic technologist in Titusville, FL. The provider is a radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques, equipment protocols, radiation safety, and patient care. ULTRACARE MOBILE DIAGNOSTIC IMAGING LLC NPI is 1346573839. The provider is registered as an organization entity type.

The provider's business location address is:

4181 IONA ST
TITUSVILLE, FL
ZIP 32796-222
Phone: (321) 795-7396
Fax: (321) 225-4936

The provider's authorized official is Deborah Y. Hazelbaker .
The authorized official title is Sole Proprietor and has the following contact phone number (321) 795-7396.

The enumeration date for this NPI number is 9/15/2009 and was last updated on 11/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging Supplier57090FLORIDANo
22471S1302XRadiologic TechnologistSonography57090FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1885043603OTHERFLORIDABUSINESS LICENSE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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