NPIMap

Organization Active NPI

Mobile Diagnostic Solutions, LLC

  • Health Service Clinic/Center
  • Ocoee, FL
National Provider Identifier
1407038300
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
3100-1038230 Issued in FL
Legal business name
MOBILE DIAGNOSTIC SOLUTIONS, LLC
Practice address
1702 Prairie Lake Blvd
Ocoee, FL 34761-1412
Phone
(407) 694-2813
Fax
(407) 522-9753
NPI assigned
Dec 3, 2007
Last updated
Dec 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Mr. Morgan Kane
Title
President
Phone
(407) 694-2813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 3100-1038230 FL Primary

Addresses

Primary practice location

1702 Prairie Lake Blvd
Ocoee, FL 34761-1412

Mailing address

1702 Prairie Lake Blvd
Ocoee, FL 34761-1412
Phone (407) 694-2813

National Provider Directory

National Provider Directory
Tax ID family
Mobile Diagnostic Solutions LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1407038300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 PRAIRIE LAKE BLVD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347611412",
            "telephone_number": "407-694-2813",
            "fax_number": "407-522-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 PRAIRIE LAKE BLVD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347611412",
            "telephone_number": "407-694-2813",
            "fax_number": "407-522-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DIAGNOSTIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-694-2813",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "3100-1038230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.