CT Mobile Imaging Services PC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

CT MOBILE IMAGING SERVICES PC

Practice address

100 Mill Plain Rd
Danbury, CT 06811-5178

Phone

(973) 283-2011

Fax

(973) 283-4546

NPI assigned

Aug 23, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Marcus Spatidol

Title

Administrator

Phone

(973) 283-2011

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1356896096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MILL PLAIN RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115178",
            "telephone_number": "973-283-2011",
            "fax_number": "973-283-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MILL PLAIN RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115178",
            "telephone_number": "973-283-2011",
            "fax_number": "973-283-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT MOBILE IMAGING SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "SPATIDOL",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-283-2011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mobile Radiology Clinic/Center in Danbury, CT
• Providers in Danbury, CT by specialty
• Mobile Radiology Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.