Mobile Quality Diagnostic Corp

Primary specialty

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

License

HCC4270 Issued in FL

Legal business name

MOBILE QUALITY DIAGNOSTIC CORP

Practice address

1751 W 38TH PL
#1003-A
Hialeah, FL 33012-7021

Phone

(305) 820-8720

Fax

(305) 820-8721

NPI assigned

Aug 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Reynaldo Ortega, RT RVS

Title

President

Phone

(305) 820-8720

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mobile Quality Diagnostic Corp

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Hialeah, FL
  • NPI 1861652125

  6204729148

  Same PAC ID

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• HealthSun Health Plans Network

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adel Abdalla, M.D.

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1497702542
  NPD (past)
• Luis Fernando Amat, M.D.

  • Cardiovascular Disease Physician
  • Miami, FL
  • NPI 1427141951
  NPD (past)
• David Allan Saks, M.D.

  • Diagnostic Radiology Physician
  • Boca Raton, FL
  • NPI 1588611529
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1104819648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 W 38TH PL",
            "address_2": "UNIT 1003-A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127021",
            "telephone_number": "305-820-8720",
            "fax_number": "305-820-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 W 38TH PL",
            "address_2": "#1003-A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127021",
            "telephone_number": "305-820-8720",
            "fax_number": "305-820-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE QUALITY DIAGNOSTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-820-8720",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT RVS"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "FL",
            "license": "HCC4270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030619300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Daniel V Mock, MSN, APRN, AGACNP-BC
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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.