Healthcare Provider Details

I. General information

NPI: 1558754994
Provider Name (Legal Business Name): ATLANTIC MOBILE IMAGING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2015
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 HAND AVE STE A
ORMOND BEACH FL
32174-8195
US

IV. Provider business mailing address

1400 HAND AVE STE A
ORMOND BEACH FL
32174-8195
US

V. Phone/Fax

Practice location:
  • Phone: 386-239-8270
  • Fax: 386-239-8273
Mailing address:
  • Phone: 386-239-8270
  • Fax: 386-239-8273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: VERNON B THURMAN
Title or Position: PRESIDENT / OWNER
Credential:
Phone: 386-239-8270