NPIMap

Organization Active NPI

Northern Mobile Medical Diagnostics

  • General Practice Physician
  • Saraland, AL
National Provider Identifier
1043485196
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10060 Issued in AL
Legal business name
NORTHERN MOBILE MEDICAL DIAGNOSTICS
Practice address
1084 Industrial Pkwy
Suite B
Saraland, AL 36571-3726
Phone
(251) 675-8760
Fax
(251) 675-8100
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Oscar B Lopez, M.D.NPI 1508084153
Title
Physician
Phone
(251) 675-8760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 10060 AL Primary

Addresses

Primary practice location

1084 Industrial Pkwy
Suite B
Saraland, AL 36571-3726

Mailing address

1084 Industrial Parkway
Suite B
Saraland, AL 36571
Phone (251) 675-8760

Other identifiers 1

IdentifierTypeStateIssuer
H438OtherALMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1043485196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 INDUSTRIAL PARKWAY",
            "address_2": "SUITE B",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "36571",
            "telephone_number": "251-675-8760",
            "fax_number": "251-675-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 INDUSTRIAL PKWY",
            "address_2": "SUITE B",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365713726",
            "telephone_number": "251-675-8760",
            "fax_number": "251-675-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MOBILE MEDICAL DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "251-675-8760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AL",
            "license": "10060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "H438",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saraland, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.