# SUPERIOR MOBILE DIAGNOSTICS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629795679
- **Authorized official:** JESSIE WEBSTER (OWNER)
- **Authorized official phone:** (906) 202-9378

## Contact information

- **Practice address:** N7760 CARMODY RD, MUNISING, MI 49862-9171
- **Practice address phone:** (906) 202-9378
- **Mailing address:** N7760 CARMODY RD, MUNISING, MI 49862-9171
- **Mailing address phone:** (906) 202-9378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471S1302X | Sonography Radiologic Technologist | — | NULL | — |
| 2471S1302X | Sonography Radiologic Technologist | — | — | — |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | NULL | — |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | — | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 10/20/2022
- **Last updated:** 10/17/2025
