Organization Active NPI

Eclipse Medical Diagnostics LLC

  • Mobile Radiology Clinic/Center
  • Miami Beach, FL
National Provider Identifier
1073752242
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
ECLIPSE MEDICAL DIAGNOSTICS LLC
Practice address
429 Lenox Ave
Ste 4C20
Miami Beach, FL 33139-6532
Phone
(786) 999-6511
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Mr. Mario P Treto
Title
MGRM
Phone
(786) 999-6511

Specialties & licenses 1

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

Addresses

Primary practice location

429 Lenox Ave
Ste 4C20
Miami Beach, FL 33139-6532

Mailing address

429 Lenox Ave
Ste 4C20
Miami Beach, FL 33139-6532
Phone (786) 999-6511

National Provider Directory

National Provider Directory

Locations

429 Lenox Ave
Miami Beach, FL 33139
Phone (305) 767-1924

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1073752242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 LENOX AVE",
            "address_2": "STE 4C20",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396532",
            "telephone_number": "786-999-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 LENOX AVE",
            "address_2": "STE 4C20",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396532",
            "telephone_number": "786-999-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLIPSE MEDICAL DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "TRETO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "786-999-6511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.