MEDICARE: MOBILE SONOGRAPHY

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

General Provider Information

NPI Number	:	1821695966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOBILE SONOGRAPHY

Provider Business Mailing Address
First Line	:	21 LAKE SHORE BLVD
Second Line	:
City	:	PORT WENTWORTH
State	:	GA
Zip	:	31407-3612
Country	:	US
Telephone Number	:	912-704-1053
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 LAKE SHORE BLVD
Second Line	:
City	:	PORT WENTWORTH
State	:	GA
Zip	:	31407-3612
Country	:	US
Telephone Number	:	912-704-1053
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANGEL THOMAS
Credential	:
Telephone Number	:	912-704-1053

Provider Enumeration Date	:	10/01/2020
Last Update Date	:	10/01/2020

Similar Medicare Providers

1033738570 — ANGEL THOMAS ARDMS, RVT
Practice Location Address:

21 LAKE SHORE BLVD
PORT WENTWORTH, GA
31407-3612

Practice Phone: 912-704-1053
Practice Fax:

1689203952 — SHIRLEY ANN BYRD
Practice Location Address:

45 LAKE SHORE BLVD
SAVANNAH, GA
31407-3612

Practice Phone: 912-484-7573
Practice Fax:

1942346747 — DOCTORS CHOICE HOME MEDICAL EQUIPMENT OF LARGO INC
Practice Location Address:

6746 OSTEEN RD
NEW PORT RICHEY, FL
34653-3612

Practice Phone: 727-846-9789
Practice Fax: 727-843-9145

1043209240 — WESTVIEW NURSING AND REHABILITATION CENTER, LLC
Practice Location Address:

1000 DORSET RD
PORT WENTWORTH, GA
31407-1517

Practice Phone: 912-964-1515
Practice Fax: 912-964-9490

1689768673 — MRS. KRISTAL LYNNE JASTER PA-C
Practice Location Address:

7306 GA HIGHWAY 21 STE 105
PORT WENTWORTH, GA
31407-9275

Practice Phone: 912-966-2575
Practice Fax: 912-966-0906

1205058161 — DAWN RACHELLE CARTER
Practice Location Address:

19 LANVALE ST
PORT WENTWORTH, GA
31407-9763

Practice Phone: 912-963-6742
Practice Fax: 912-963-0874

Directions to “MOBILE SONOGRAPHY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.