Elite Mobil Diagnostics, Inc.

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

Legal business name

ELITE MOBIL DIAGNOSTICS, INC.

Practice address

3699 Vista Way
Weston, FL 33331-3713

Phone

(954) 937-1126

Fax

(954) 349-1411

NPI assigned

Mar 23, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Laurence RubinNPI 1104991421

Title

President

Phone

(954) 937-1126

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurence Rubin

  • Other Specialist/Technologist
  • Weston, FL
  • NPI 1104991421
  NPD (past) Authorized official

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1346481298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 VISTA WAY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313713",
            "telephone_number": "954-937-1126",
            "fax_number": "954-349-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 VISTA WAY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313713",
            "telephone_number": "954-937-1126",
            "fax_number": "954-349-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MOBIL DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-937-1126",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dane Elleson
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• Fedricka Adriana Ellis, RBT
• Hossam Elzawawy, MD

• Sonography Radiologic Technologist in Weston, FL
• Providers in Weston, FL by specialty
• Sonography Radiologic Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.