MB Diagnostic Services LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

HCC10508 Issued in FL

Legal business name

MB DIAGNOSTIC SERVICES LLC

Practice address

6303 Blue Lagoon Dr Ste 400
Miami, FL 33126-6040

Phone

(786) 399-5832

NPI assigned

Oct 27, 2015

Organization subpart

No

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

Authorized official

Name

Odalgis Rojas

Title

President

Phone

(305) 537-4269

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1023480381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331266040",
            "telephone_number": "786-399-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331266040",
            "telephone_number": "786-399-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB DIAGNOSTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "ODALGIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-537-4269"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC10508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Santo Mazzarella, DMD
• Jane Mazzarella, M.D.
• Nicole Mazzei
• Bianca Rita Mazzieri
• Angelica Nicole Mazzocca Rauseo
• MB Health Group Inc
• MB Home Health Care Inc
• MB Medical Group, P.a.
• MB Medical Supply Inc
• MB Mental Therapy Inc

• Radiology Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.