NPIMap

Organization Active NPI

Midway Ultrasound Diagnostic Services

  • Radiology Clinic/Center
  • Port St Lucie, FL
National Provider Identifier
1689127201
Registry record updated Jul 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
42861 Issued in MD
Legal business name
MIDWAY ULTRASOUND DIAGNOSTIC SERVICES
Practice address
1801 SE Hillmoor Dr
Port St Lucie, FL 34952-7553
Phone
(678) 994-5407
NPI assigned
Jul 31, 2016
Last updated
Jul 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2016

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

Authorized official

Name
Edward Francis Crooks, RDMS, RVT, RDCSNPI 1316490931
Title
Ownet
Phone
(678) 994-5407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 42861 MD Primary

Addresses

Primary practice location

1801 SE Hillmoor Dr
Port St Lucie, FL 34952-7553

Mailing address

1801 SE Hillmoor Dr
Port St Lucie, FL 34952-7553
Phone (678) 994-5407

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1469923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469923200000",
    "number": "1689127201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527553",
            "telephone_number": "678-994-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527553",
            "telephone_number": "678-994-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY ULTRASOUND DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-31",
        "last_updated": "2016-07-31",
        "status": "A",
        "authorized_official_last_name": "CROOKS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNET",
        "authorized_official_telephone_number": "678-994-5407",
        "authorized_official_credential": "RDMS, RVT, RDCS"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MD",
            "license": "42861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2016; 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.