Mobile Diagnostic TST Serv Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

MOBILE DIAGNOSTIC TST SERV INC

Doing business as

HealthTrac

Practice address

269 Sheffield St
Suite 5C
Mountainside, NJ 07092-2318

Phone

(908) 518-0150

Fax

(718) 886-5762

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Daniel T McDonnell

Title

Executive Vice President

Phone

(716) 686-7110

Specialties & licenses 1

Addresses

Other names 1

• HealthTrac Doing business as

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1558497354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 GENESEE ST",
            "address_2": "SUITE 180",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142255550",
            "telephone_number": "716-686-7100",
            "fax_number": "716-614-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 SHEFFIELD ST",
            "address_2": "SUITE 5C",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922318",
            "telephone_number": "908-518-0150",
            "fax_number": "718-886-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DIAGNOSTIC TST SERV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "716-686-7110"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthTrac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel Mendelson, MD
• Rose Mary Merola, MD
• Rebecca Taylor Miller, MS, CCC-SLP
• Mairead Alina Miszkiewicz
• Mobile Diagnostic Testing Services, Inc (HealthTrac)
• Stephanie A Molnar, M.S., OTR
• Heather Anne Montemurro, DPT
• Jussety Vanessa Monterrey, LMHC, LPC
• Clifford Moore, PSYD, M.A., M.S.
• Laura Morra, M.S.W.

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Mountainside, NJ
• Providers in Mountainside, NJ by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.