Organization Active NPI

Vantage Mobile Services

Doing business as Vantage Diagnostic Sleep Services

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Meadville, PA
National Provider Identifier
1619177359
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
VANTAGE MOBILE SERVICES
Doing business as
Vantage Diagnostic Sleep Services
Practice address
1305 S. Main St
Meadville, PA 16335-8378
Phone
(814) 337-0000
Fax
(814) 337-0479
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Authorized official

Name
Mr. Michael Delmar Mosbacher
Title
Cfo
Phone
(814) 337-0000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary
Medical Specialty Clinic/Center 261QM2500X
Sleep Disorder Diagnostic Clinic/Center 261QS1200X

Addresses

Primary practice location

1305 S. Main St
Meadville, PA 16335-8378

Mailing address

1305 South Main Street
Meadville, PA 16335-8378
Phone (814) 337-0000

Other names 1

  • Vantage Diagnostic Sleep Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1046853Vantage Mobile Services1305 South Main Street, Meadville, PA 16335Certificate of waiverFeb 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Advanced Litho Care LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1619177359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 SOUTH MAIN STREET",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163358378",
            "telephone_number": "814-337-0000",
            "fax_number": "814-337-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S. MAIN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163358378",
            "telephone_number": "814-337-0000",
            "fax_number": "814-337-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE MOBILE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "MOSBACHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DELMAR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-337-0000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vantage Diagnostic Sleep Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.