Modena Holdings, LLC

Primary specialty

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

Legal business name

MODENA HOLDINGS, LLC

Practice address

1401 Crestview LN
Mansfield, TX 76063-5543

Phone

(817) 477-0942

Fax

(817) 477-4967

NPI assigned

Jan 26, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Andre Georges Plaskota

Title

President

Phone

(214) 789-0361

Specialties & licenses 1

Addresses

Other names 1

• MediCall Doing business as

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1669919890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173247",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760033247",
            "telephone_number": "817-477-0942",
            "fax_number": "817-477-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CRESTVIEW LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635543",
            "telephone_number": "817-477-0942",
            "fax_number": "817-477-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODENA HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "PLASKOTA",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "GEORGES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-789-0361",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MediCall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madeline Mitchell, LMFT - ASSOCIATE
• Stephanie Lynn Mitchell, RN, MSN, CPNP
• Tiffany Mitchell
• Brandi N Mizell, LMSW
• Shelese Moaning, LPC
• Modrall Dentistry, PA
• Amy Jo Modrall, D.D.S.
• Bryan Haney Molen, DPM
• Crystal Molina-Lomeli, BCBA
• Lilian Nyanganyi Momanyi, PHARMD

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.