Mobile Diagnostic Test Serv Inc

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

MOBILE DIAGNOSTIC TEST SERV INC

Practice address

1001 State St
Suite 1400
Erie, PA 16501-1814

Phone

(814) 480-5716

Fax

(814) 480-5750

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Alan Robinson

Title

President

Phone

(716) 614-3285

Specialties & licenses 1

Addresses

Other names 1

• HealthTrac Doing business as

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1689701138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 GENESEE ST",
            "address_2": "SUITE 180",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142255550",
            "telephone_number": "716-686-7100",
            "fax_number": "716-614-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 STATE ST",
            "address_2": "SUITE 1400",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011814",
            "telephone_number": "814-480-5716",
            "fax_number": "814-480-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DIAGNOSTIC TEST SERV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-614-3285"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthTrac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David James Mitchell, MD
• Anne Frances Mitruka, CRNP
• Arsham Mizani
• Katy Mizikowski
• Mobile Diagnostic Test Serv Inc
• Mobile Medical Unit
• Jonathan Moctezuma, RN
• Amy Jo Moczulski, MA,CCC-SLP
• Jennifer Ann Moczulski, BCBA
• Julie Konieczny Modzelewski

• Diagnostic Ultrasound Physician in Erie, PA
• Providers in Erie, PA by specialty
• Diagnostic Ultrasound Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.