Fort Lauderdale Mobile Ultrasound Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

FORT LAUDERDALE MOBILE ULTRASOUND INC

Doing business as

DPI of Plantation

Practice address

7301 NW 4TH St
Suite 107
Plantation, FL 33317-2234

Phone

(954) 566-4551

Fax

(954) 566-4565

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Howard S Dekkers

Title

Ceo

Phone

(954) 566-4551

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• DPI of Plantation Doing business as

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1467487066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5286",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333105286",
            "telephone_number": "954-566-4551",
            "fax_number": "954-566-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 NW 4TH ST",
            "address_2": "SUITE 107",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172234",
            "telephone_number": "954-566-4551",
            "fax_number": "954-566-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LAUDERDALE MOBILE ULTRASOUND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "DEKKERS",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-566-4551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0889591",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "V2156",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DPI of Plantation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jathniel Kanisha Forbes
• Celina Ford, PSY.D.
• Danielle Forde
• Fort Lauderdale Childrens Surgery Center LLC
• Fort Lauderdale Eye Institute
• Fortis Emergency Physicians, LLC
• Fortis Emergency Physicians, LLC
• John Winston Foster, MD
• Florence Foucauld, M.D.
• Fountain Imaging of Plantation (Fountain Imaging)

• Radiology Clinic/Center in Plantation, FL
• Providers in Plantation, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.