SUPERIOR MOBILE DIAGNOSTICS LLC
NPI 1629795679
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Munising, MI

NPI Status: Active since October 20, 2022

Contact Information

N7760 CARMODY RD
MUNISING, MI
ZIP 49862
Phone: (906) 202-9378

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  • Organization
  • Portable X-ray and/or Other Portable Dia...
  • Accepts Insurance

About SUPERIOR MOBILE DIAGNOSTICS LLC

This page provides the complete NPI Profile along with additional information for Superior Mobile Diagnostics Llc, a provider established in Munising, Michigan operating as a Portable X-ray And/or Other Portable Diagnostic Imaging Supplier. The healthcare provider is registered in the NPI registry with number 1629795679 assigned on October 2022. The practitioner's primary taxonomy code is 335V00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Superior Mobile Diagnostics Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jessie Webster (Owner)

NPI
1629795679
Provider Name
SUPERIOR MOBILE DIAGNOSTICS LLC
Entity Type
Organization
Location Address
N7760 CARMODY RD MUNISING, MI 49862
Location Phone
(906) 202-9378
Mailing Address
N7760 CARMODY RD MUNISING, MI 49862
Mailing Phone
(906) 202-9378
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-20-2022
Last Update Date
10-17-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Code
335V00000X
Type
Suppliers
Taxonomy Description
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12471S1302XTechnologists, Technicians & Other Technical Service Providers

Radiologic Technologist
Sonography

 
22471V0105XTechnologists, Technicians & Other Technical Service Providers

Radiologic Technologist
Vascular Sonography

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JESSIE WEBSTER

Authorized Official Title
OWNER
Authorized Official Phone
(906) 202-9378

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629795679, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 7 → 14 → 5 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 1 + 4 + 9 + 1 + 0 + 6 + 1 + 4 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1629795679.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Radiologic Technologist (Sonography)
N7760 CARMODY RD
MUNISING, MI 49862
Physiological Laboratory
N7760 CARMODY RD
MUNISING, MI 49862

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629795679, enumerated as an "organization" on October 20, 2022.

The provider is located at N7760 CARMODY RD MUNISING, MI 49862 and the phone number is (906) 202-9378.

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

The provider might be accepting Accepts: Blue Care Network of Michigan and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.