MEDICARE: ATLANTIC MOBILE IMAGING SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	HCC6683	OTHER	FL	AHCA

General Provider Information

NPI Number	:	1558754994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC MOBILE IMAGING SERVICES

Provider Business Mailing Address
First Line	:	1400 HAND AVE STE A
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-8195
Country	:	US
Telephone Number	:	386-239-8270
Fax Number	:	386-239-8273

Provider Business Practice Location Address
First Line	:	1400 HAND AVE STE A
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-8195
Country	:	US
Telephone Number	:	386-239-8270
Fax Number	:	386-239-8273

Authorized Official
Title or Position	:	PRESIDENT / OWNER
Name	:	VERNON B THURMAN
Credential	:
Telephone Number	:	386-239-8270

Provider Enumeration Date	:	03/10/2015
Last Update Date	:	05/08/2026

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Directions to “ATLANTIC MOBILE IMAGING SERVICES ” Practice Location

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