Organization Active NPI

Mobile Diagnostic Testing Services Inc

  • Diagnostic Ultrasound Physician
  • Flushing, NY
National Provider Identifier
1598891590
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
MOBILE DIAGNOSTIC TESTING SERVICES INC
Practice address
3050 Whitestone Expy
Suite 205
Flushing, NY 11354-1995
Phone
(800) 626-1616
Fax
(718) 358-1082
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Alan Robinson
Title
President
Phone
(716) 614-3285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

3050 Whitestone Expy
Suite 205
Flushing, NY 11354-1995

Mailing address

4950 Genesee St
Suite 180
Buffalo, NY 14225-5550
Phone (716) 686-7100

Other identifiers 6

IdentifierTypeStateIssuer
00020000502OtherNYFAMILY HEALTH PLUS
0073929OtherNYGOVT HEALTH
A431846OtherNYOXFORD
02W51OtherNYEMPIRE BC BS
16-01951OtherNYEVERCARE
162340OtherNYELDERPLAN

Other names 1

  • HealthTrac Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1598891590",
    "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": "3050 WHITESTONE EXPY",
            "address_2": "SUITE 205",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541995",
            "telephone_number": "800-626-1616",
            "fax_number": "718-358-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DIAGNOSTIC TESTING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-614-3285"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY HEALTH PLUS",
            "identifier": "00020000502",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOVT HEALTH",
            "identifier": "0073929",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A431846",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC BS",
            "identifier": "02W51",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "16-01951",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "162340",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthTrac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

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