Mobile Diagnostic Testing Services Inc

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

MOBILE DIAGNOSTIC TESTING SERVICES INC

Doing business as

HealthTrac

Practice address

4950 Genesee St
Suite 180
Buffalo, NY 14225-5550

Phone

(716) 686-7100

Fax

(716) 614-3282

NPI assigned

Feb 26, 2007

Last updated

Jun 25, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel T McDonnell

Title

Executive Vice President

Phone

(716) 686-7110

Specialties & licenses 1

Addresses

Other names 1

• HealthTrac Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1003942855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 GENESEE ST",
            "address_2": "SUITE 180",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142255550",
            "telephone_number": "716-686-7100",
            "fax_number": "716-614-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 GENESEE ST",
            "address_2": "SUITE 180",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142255550",
            "telephone_number": "716-686-7100",
            "fax_number": "716-614-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DIAGNOSTIC TESTING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "716-686-7110"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthTrac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Miyashita, PHD, ATC
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• Sandra Mobley-Terry, CASAC

• Diagnostic Ultrasound Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Diagnostic Ultrasound Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.