Hollywood Mobile Diagnostics Inc

Primary specialty

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

Legal business name

HOLLYWOOD MOBILE DIAGNOSTICS INC

Practice address

2216 N 20TH Ave
Hollywood, FL 33020-2108

Phone

(954) 965-0054

Fax

(954) 965-5967

NPI assigned

Nov 7, 2006

Last updated

Jun 5, 2008By 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 Sharenow

Title

Owner President

Phone

(954) 965-0054

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1669541454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 N 20TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330202108",
            "telephone_number": "954-965-0054",
            "fax_number": "954-965-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 N 20TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330202108",
            "telephone_number": "954-965-0054",
            "fax_number": "954-965-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD MOBILE DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "SHARENOW",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "954-965-0054"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510063100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hollywood Medical Care Inc
• Hollywood Medical Center Ekg Associates PA
• Hollywood Medical Center, Inc. (Hollywood Medical Center)
• Hollywood Medical Center, Inc. (Hollywood Medical Center)
• Hollywood Medical Clinic LLC
• Hollywood Mobile Imaging Inc
• Hollywood Oral Surgery, PLLC
• Hollywood Orthopedics
• Hollywood Pain Relief Dispensary
• Hollywood Paradise Residence Inc

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.