NPIMap

Organization Active NPI

Complete Mobile Diagnostics LLC

  • Other Specialist/Technologist
  • Street, MD
National Provider Identifier
1518256312
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
COMPLETE MOBILE DIAGNOSTICS LLC
Practice address
3309 Deer Hill Rd
Street, MD 21154
Phone
(410) 452-5372
NPI assigned
Apr 1, 2011
Last updated
Apr 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Mrs. Rosalie Loretta Burnite
Title
Owner
Phone
(410) 452-5372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X Primary

Addresses

Primary practice location

3309 Deer Hill Rd
Street, MD 21154

Mailing address

PO Box 28
Forest Hill, MD 21050
Phone (410) 452-5372

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1518256312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "21050",
            "telephone_number": "410-452-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 DEER HILL RD",
            "city": "STREET",
            "state": "MD",
            "postal_code": "21154",
            "telephone_number": "410-452-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE MOBILE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "BURNITE",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_middle_name": "LORETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-452-5372",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Street, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.