OrganizationActive
Mobile Sonography
NPI 1821695966 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Port Wentworth, GA
Provider details
- NPI number
- 1821695966
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Angel Thomas, Ceo(912) 704-1053
Specialties & taxonomies
Suppliers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21 Lake Shore Blvd
Port Wentworth, GA 31407-3612
Phone: (912) 704-1053
Street-level locationGet directions
Mailing address
21 Lake Shore Blvd
Port Wentworth, GA 31407-3612
Registry dates
- Enumerated
- 2020-10-01
- Last updated
- 2020-10-01
- Certified
- 2020-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.