CMS-1500 Box 24J / 33a • NPI
1396779237
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
335V00000X (CMS 63)
Licensed & Credentialed Suppliers — Portable X-Ray Supplier
Box 32 Service Location & ZIP+4
75 NEW HAVEN AVE, MILFORD, CT, 06460-4854
✓ 9-Digit EDI 837 ZIP+4 (06460-4854)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1396779237 (ADVANCED MOBILE IMAGING, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1396779237 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADVANCED MOBILE IMAGING, LLC |
| Plain-English Specialty | Licensed & Credentialed Suppliers — Portable X-Ray Supplier NUCC Code: 335V00000X (Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 75 NEW HAVEN AVE, MILFORD, CT, 06460-4854 |
| Practice Telephone / Fax | Tel: (203) 878-6768 | Fax: (203) 878-6087 |
| Administrative Mailing Address | PO BOX 416, MILFORD, CT, 06460-0416 |
| Enumeration & Last Sync | Enumerated: 2006-07-10 | CMS Record Updated: 2016-08-31 |
| Authorized Official | BRIAN ELZIN (Managing Member) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (335V00000X)
What Does Taxonomy Code 335V00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 335V00000X translates to:
"Licensed & Credentialed Suppliers — Portable X-Ray Supplier"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADVANCED MOBILE IMAGING, LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2085U0001X — Radiology, Diagnostic UltrasoundPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Diagnostic Ultrasound | State: CT | License: 81408 | Primary: Secondary |
2471B0102X — Radiologic Technologist, Bone DensitometryPlain English: Licensed & Credentialed Radiologic Technologist, Bone Densitometry | State: CT | License: 003259 | Primary: Secondary |
247200000X — Technician, OtherPlain English: Licensed & Credentialed Technologists, Technicians & Other Technical Service Providers — Technician, Other | State: CT | License: 003259 | Primary: Secondary |
335V00000X — Portable X-Ray and/or Other Portable Diagnostic Imaging SupplierPlain English: Licensed & Credentialed Suppliers — Portable X-Ray Supplier | State: CT | License: 003259 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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