Active NPI
Heartcare Mobile Diagnostics
- Mobile Mammography Clinic/Center
- Gilbert, AZ
National Provider Identifier
1609354117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Mammography Clinic/Center
- License
- 000819-2018
- Legal business name
- HEARTCARE MOBILE DIAGNOSTICS
- Practice address
- 2160 E Melrose St # 101
Gilbert, AZ 85297-1132 - Phone
- (602) 714-0961
- NPI assigned
- Aug 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Andres
- Title
- Owner
- Phone
- (602) 714-0961
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Mammography Clinic/Center | 261QR0207X | 000819-2018 | AZ | Primary |
Addresses
Primary practice location
2160 E Melrose St # 101
Gilbert, AZ 85297-1132
Mailing address
2160 E Melrose St # 101
Gilbert, AZ 85297-1132
Phone (602) 714-0961
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533513600000",
"number": "1609354117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 E MELROSE ST # 101",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852971132",
"telephone_number": "602-714-0961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 E MELROSE ST # 101",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852971132",
"telephone_number": "602-714-0961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTCARE MOBILE DIAGNOSTICS",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-06",
"last_updated": "2018-08-06",
"status": "A",
"authorized_official_last_name": "ANDRES",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-714-0961"
},
"taxonomies": [
{
"code": "261QR0207X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile Mammography",
"state": "AZ",
"license": "000819-2018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.