Mobile Imaging LTD.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MOBILE IMAGING LTD.

Practice address

7 Herbert Drive
Latham, NY 12110-3801

Phone

(518) 785-3511

Fax

(518) 783-1090

NPI assigned

Sep 1, 2005

Last updated

Dec 30, 2014By 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

Mr. Kenneth C Andrews

Title

Vice President

Phone

(315) 437-1622

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mobile Imaging LTD.

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Latham, NY
  • NPI 1609860824

  5092760405

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Paul Bernstein, MD

  • Cardiovascular Disease Physician
  • Albany, NY
  • NPI 1356345326
  NPD

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1023002367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 COLLAMER RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571032",
            "telephone_number": "315-437-1622",
            "fax_number": "315-437-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HERBERT DRIVE",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121103801",
            "telephone_number": "518-785-3511",
            "fax_number": "518-783-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE IMAGING LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "315-437-1622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01867427",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01738554",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindful Connections Psychological Services, PLLC
• Mindwell Psychological Assessment, LLP
• Eric Louis Mishkin, MD
• Emily Mitchell
• Richelle Beverly Mitchell, M.S. SLP
• Mobile Imaging LTD.
• Racquel Marie Mochrie, FNP-BC
• Loren Moffitt
• Susan Lynn Mollard, NP
• Desiree Joyce Mollnow, FNP-BC

• Physiological Laboratory in Latham, NY
• Providers in Latham, NY by specialty
• Physiological Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.