Organization Active NPI

Chiromedic Mobile Diagnostic Inc.

  • Mobile Radiology Clinic/Center
  • Hialeah Gardens, FL
National Provider Identifier
1063631703
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
CHIROMEDIC MOBILE DIAGNOSTIC INC.
Practice address
9807 NW 80TH Ave Unit 11F
Hialeah Gardens, FL 33016-2325
Phone
(305) 362-9522
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul Guadagno
Title
Chiropractor
Phone
(305) 362-9522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

9807 NW 80TH Ave Unit 11F
Hialeah Gardens, FL 33016-2325

Mailing address

9807 NW 80TH Ave Unit 11F
Hialeah Gardens, FL 33016-2325
Phone (305) 362-9522

National Provider Directory

National Provider Directory

Locations

9807 NW 80th Ave
Unit 11F
Hialeah Gardens, FL 33016
Phone (305) 362-9522

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063631703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9807 NW 80TH AVE UNIT 11F",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162325",
            "telephone_number": "305-362-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9807 NW 80TH AVE UNIT 11F",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162325",
            "telephone_number": "305-362-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROMEDIC MOBILE DIAGNOSTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUADAGNO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "305-362-9522"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.