Organization Active NPI

Hollywood Mobile Imaging Inc

  • Physiological Laboratory
  • Hollywood, FL
National Provider Identifier
1407185416
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
HOLLYWOOD MOBILE IMAGING INC
Practice address
1415 Madison St
Hollywood, FL 33020-5526
Phone
(954) 251-1226
NPI assigned
Dec 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Mrs. Lisa Smith-Lopez
Title
President/ Ceo
Phone
(954) 251-1226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

1415 Madison St
Hollywood, FL 33020-5526

Mailing address

1415 Madison St
Hollywood, FL 33020-5526
Phone (954) 251-1226

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1407185416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 MADISON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205526",
            "telephone_number": "954-251-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MADISON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205526",
            "telephone_number": "954-251-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD MOBILE IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "SMITH-LOPEZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "954-251-1226",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.