Mobile Medical Diagnostic Inc

Primary specialty

Pulmonary Function TechnologistTaxonomy code 225B00000X

Legal business name

MOBILE MEDICAL DIAGNOSTIC INC

Practice address

2146 N Nashville Ave Unit 1N
Chicago, IL 60707-3950

Phone

(630) 946-8555

NPI assigned

May 25, 2021

Last updated

May 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Singaye

Title

Owner

Phone

(630) 946-8555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1629643200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 N NASHVILLE AVE UNIT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073950",
            "telephone_number": "630-946-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 N NASHVILLE AVE UNIT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073950",
            "telephone_number": "630-946-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "SINGAYE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-946-8555"
    },
    "taxonomies": [
        {
            "code": "225B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pulmonary Function Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.