Vertex Mobile Diagnostics Inc

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

VERTEX MOBILE DIAGNOSTICS INC

Practice address

1810 Voorhies Ave Ste 10
Brooklyn, NY 11235-3313

Phone

(833) 837-8396

Fax

(646) 661-3259

NPI assigned

Nov 21, 2018

Organization subpart

No

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

Authorized official

Name

Dilshod Islamov

Title

President

Phone

(347) 701-5005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1316416126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 VOORHIES AVE STE 10",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353313",
            "telephone_number": "833-837-8396",
            "fax_number": "646-661-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 VOORHIES AVE STE 10",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353313",
            "telephone_number": "833-837-8396",
            "fax_number": "646-661-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERTEX MOBILE DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "ISLAMOV",
        "authorized_official_first_name": "DILSHOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-701-5005"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.