Active NPI
Mobile CV Imaging, LLC
- Cardiovascular Disease Physician
- Bridgeport, CT
National Provider Identifier
1033367743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 033357
- Legal business name
- MOBILE CV IMAGING, LLC
- Practice address
- 136 Grovers Ave
Bridgeport, CT 06605-3536 - Phone
- (203) 767-3332
- Fax
- (203) 612-8391
- NPI assigned
- Sep 5, 2008
- Last updated
- Sep 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sybil Gauthier Malkin
- Title
- Manager
- Phone
- (203) 331-7597
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 033357 | CT | Primary |
Addresses
Primary practice location
136 Grovers Ave
Bridgeport, CT 06605-3536
Mailing address
136 Grovers Ave
Bridgeport, CT 06605-3536
Phone (203) 767-3332
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Cardiovascular Disease Physician
- Bridgeport, CT
- NPI 1366440026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220572800000",
"number": "1033367743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 GROVERS AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066053536",
"telephone_number": "203-767-3332",
"fax_number": "203-612-8391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 GROVERS AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066053536",
"telephone_number": "203-767-3332",
"fax_number": "203-612-8391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE CV IMAGING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-05",
"last_updated": "2008-09-05",
"status": "A",
"authorized_official_last_name": "MALKIN",
"authorized_official_first_name": "SYBIL",
"authorized_official_middle_name": "GAUTHIER",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "203-331-7597",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "033357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.