Professional Mobile Diagnostic Services

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

2471V0105X Issued in FL

Legal business name

PROFESSIONAL MOBILE DIAGNOSTIC SERVICES

Practice address

2600 SW 126TH Ave
Miami, FL 33175-2129

Phone

(305) 608-6380

Fax

(305) 662-5965

NPI assigned

Aug 25, 2010

Organization subpart

No

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

Authorized official

Name

Scott Bernstein, M.D.

Title

President

Phone

(305) 608-6380

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1295041416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SW 126TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752129",
            "telephone_number": "305-608-6380",
            "fax_number": "305-662-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SW 126TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752129",
            "telephone_number": "305-608-6380",
            "fax_number": "305-662-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MOBILE DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-608-6380",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "2471V0105X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Miami, FL
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• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.