Organization Active NPI

Florida Mobile Imaging Services Inc

  • Radiologic Technologist
  • Miami, FL
National Provider Identifier
1013920073
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Legal business name
FLORIDA MOBILE IMAGING SERVICES INC
Practice address
3260 NW 7TH St Ste 102
Miami, FL 33125-4102
Phone
(305) 649-0470
Fax
(305) 649-0620
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Sergio Julian Ortega
Title
Vice President
Phone
(305) 649-0470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 247100000X Primary

Addresses

Primary practice location

3260 NW 7TH St Ste 102
Miami, FL 33125-4102

Mailing address

3260 NW 7TH St Ste 102
Miami, FL 33125-4102
Phone (305) 649-0470

Other identifiers 1

IdentifierTypeStateIssuer
510023200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250923000419 FL Part B Supplier - Clinic/Group Practice 0345223038 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

974 SW 82nd Ave
Miami, FL 33144
Phone (305) 267-6145

3620 NW 7th St
Ste 102
Miami, FL 33125
Phone (305) 649-0470

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1013920073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 NW 7TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254102",
            "telephone_number": "305-649-0470",
            "fax_number": "305-649-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 NW 7TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254102",
            "telephone_number": "305-649-0470",
            "fax_number": "305-649-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA MOBILE IMAGING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "JULIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-649-0470"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510023200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.