NPIMap

Organization Active NPI

Fisher-Titus Affiliated Services

Doing business as North Central Mobile Diagnostics

  • Physiological Laboratory
  • Milan, OH
National Provider Identifier
1235548090
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
FISHER-TITUS AFFILIATED SERVICES
Doing business as
North Central Mobile Diagnostics
Practice address
12513 US Highway 250 N
Milan, OH 44846-9546
Phone
(419) 663-1367
Fax
(419) 499-2664
NPI assigned
Aug 6, 2014
Last updated
Dec 1, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
FISHER-TITUS HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Laurie S Delgado
Title
Senior VP Operations
Phone
(419) 660-6931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

12513 US Highway 250 N
Milan, OH 44846-9546

Mailing address

PO Box 399
Vermilion, OH 44089-0399
Phone (419) 663-1367

Other names 1

  • North Central Mobile Diagnostics Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1235548090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440890399",
            "telephone_number": "419-663-1367",
            "fax_number": "419-499-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12513 US HIGHWAY 250 N",
            "city": "MILAN",
            "state": "OH",
            "postal_code": "448469546",
            "telephone_number": "419-663-1367",
            "fax_number": "419-499-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER-TITUS AFFILIATED SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FISHER-TITUS HEALTH",
        "enumeration_date": "2014-08-06",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SENIOR VP OPERATIONS",
        "authorized_official_telephone_number": "419-660-6931"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Central Mobile Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.