Provider Demographics
NPI:1902777436
Name:SPHERE MOBILE DIGITAL IMAGING LLC
Entity type:Organization
Organization Name:SPHERE MOBILE DIGITAL IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YOSEF
Authorized Official - Middle Name:
Authorized Official - Last Name:FELLER
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, LBA, BCBA
Authorized Official - Phone:570-512-9729
Mailing Address - Street 1:1800 WATER PL SE STE A225
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-2061
Mailing Address - Country:US
Mailing Address - Phone:570-512-9729
Mailing Address - Fax:570-438-1612
Practice Address - Street 1:1800 WATER PL SE STE A225
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-2061
Practice Address - Country:US
Practice Address - Phone:570-512-9729
Practice Address - Fax:570-438-1612
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPHERE MOBILE DIGITAL IMAGING SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier