CT Mobile Diagnostic Services

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

CT MOBILE DIAGNOSTIC SERVICES

Practice address

249 W Main St
C-3
Branford, CT 06405-4048

Phone

(203) 488-1718

Fax

(203) 488-5016

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark A Gambardella

Title

President

Phone

(203) 467-6967

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073570206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 W MAIN ST",
            "address_2": "C-3",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054048",
            "telephone_number": "203-488-1718",
            "fax_number": "203-488-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 W MAIN ST",
            "address_2": "C-3",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054048",
            "telephone_number": "203-488-1718",
            "fax_number": "203-488-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT MOBILE DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAMBARDELLA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-467-6967",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin M Cravez, M.D.
• Creative Alternatives
• Zina I Crescenzi, APRN
• Clare Criscuolo, LPC
• CSC Enterprises, Inc. (Branford Hills Health Care Center)
• CT Pain Addiction & Psychiatric Services, Inc
• CT. Mobile Diagnostic Services
• Michelle L Cubanski, L.C.S.W.
• Brenda Marsha Cullom, LCSW
• Erin Cushing

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Branford, CT
• Providers in Branford, CT by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Connecticut

• 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.