Mobile Diagnostics

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MOBILE DIAGNOSTICS

Practice address

6424 E Greenway Pkwy Ste 100
Scottsdale, AZ 85254-2045

Phone

(480) 750-7192

Fax

(480) 750-7193

NPI assigned

Feb 25, 2020

Organization subpart

No

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

Authorized official

Name

Regina L Gillen

Title

Director of Business Development

Phone

(219) 779-0606

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1295369676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 E GREENWAY PKWY STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542045",
            "telephone_number": "480-750-7192",
            "fax_number": "480-750-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 E GREENWAY PKWY STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542045",
            "telephone_number": "480-750-7192",
            "fax_number": "480-750-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "GILLEN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "219-779-0606"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "reggie@mobiledx.net",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6424 E Greenway Pkwy Ste 100",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852542045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "reggie@mobiledx.net",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6424 E Greenway Pkwy Ste 100",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852542045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.