Diagnostic Portable Imaging Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

DIAGNOSTIC PORTABLE IMAGING INC

Practice address

5201 Babcock St NE
Suite 2
Palm Bay, FL 32905-4637

Phone

(321) 984-8001

Fax

(321) 728-0523

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bruce D Cotti, RT(R)ARRT

Title

President/Owner

Phone

(321) 984-8001

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Diagnostic Portable Imaging Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Florida Diagnostic Portable Imaging, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Palm Bay, FL
  • NPI 1427051887
  NPD tax ID

Locations

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1295919025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 BABCOCK ST NE",
            "address_2": "SUITE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054637",
            "telephone_number": "321-984-8001",
            "fax_number": "321-728-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 BABCOCK ST NE",
            "address_2": "SUITE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054637",
            "telephone_number": "321-984-8001",
            "fax_number": "321-728-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC PORTABLE IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "COTTI",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "321-984-8001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT(R)ARRT"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD IDTF",
            "identifier": "V1919",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devereux Foundation
• Devereux Foundation
• Kahla Bri Santiago Dewar
• Amma A Dewberry, BS
• Stephen Di Cerbo, LMFT
• Harry Diaz Mendez, MD
• Natalia A Diaz
• Christal M Dickun, MD
• Jean Elyse Dievendorf
• Mark C Dillon, MD

• Physiological Laboratory in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Physiological Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.