Organization Active NPI

Mobile Sonix LLC

  • Radiology Clinic/Center
  • Windermere, FL
National Provider Identifier
1558391540
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
HCC7053 Issued in FL
Legal business name
MOBILE SONIX LLC
Practice address
13059 Penshurst LN
Windermere, FL 34786-6671
Phone
(407) 339-7717
Fax
(321) 445-5559
NPI assigned
Jul 4, 2006
Last updated
Feb 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Mrs. Jennifer J Fox
Title
Vice President
Phone
(407) 339-7717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X HCC7053 FL Primary

Addresses

Primary practice location

13059 Penshurst LN
Windermere, FL 34786-6671

Mailing address

PO Box 947951
Maitland, FL 32794-7951
Phone (407) 339-7717

Other identifiers 1

IdentifierTypeStateIssuer
510057700MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1558391540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947951",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327947951",
            "telephone_number": "407-339-7717",
            "fax_number": "321-445-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13059 PENSHURST LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866671",
            "telephone_number": "407-339-7717",
            "fax_number": "321-445-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE SONIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "407-339-7717",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC7053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510057700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.