Organization Active NPI

Mobile Diagnostic Testing Services, Inc

Doing business as HealthTrac

  • Diagnostic Ultrasound Physician
  • Mountainside, NJ
National Provider Identifier
1285760041
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
MOBILE DIAGNOSTIC TESTING SERVICES, INC
Doing business as
HealthTrac
Practice address
269 Sheffield St
Suite 5C
Mountainside, NJ 07092-2318
Phone
(908) 518-0150
Fax
(718) 886-5762
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Authorized official

Name
Alan Robinson
Title
President
Phone
(716) 614-3285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

269 Sheffield St
Suite 5C
Mountainside, NJ 07092-2318

Mailing address

4950 Genesee St
Suite 180
Buffalo, NY 14225-5550
Phone (716) 686-7100

Other identifiers 1

IdentifierTypeStateIssuer
630000708OtherNJRAILROAD

Other names 1

  • HealthTrac Doing business as

National Provider Directory

National Provider Directory

Locations

3050 Whitestone Expy
Flushing, NY 11354
Phone (718) 886-1313

400 Essjay Rd
Ste 350
Williamsville, NY 14221

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1285760041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 GENESEE ST",
            "address_2": "SUITE 180",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142255550",
            "telephone_number": "716-686-7100",
            "fax_number": "716-614-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 SHEFFIELD ST",
            "address_2": "SUITE 5C",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922318",
            "telephone_number": "908-518-0150",
            "fax_number": "718-886-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DIAGNOSTIC TESTING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-614-3285"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "630000708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthTrac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountainside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.