Active NPI
Pink Mobile Labs & Diagnostics
- Mobile Mammography Clinic/Center
- Aventura, FL
National Provider Identifier
1699369405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Mammography Clinic/Center
- Legal business name
- PINK MOBILE LABS & DIAGNOSTICS
- Practice address
- 2820 NE 214TH St Unit 8TH
Aventura, FL 33180-1268 - Phone
- (754) 300-9290
- Fax
- (754) 220-9053
- NPI assigned
- Feb 22, 2021
- Organization subpart
- Yes
- Parent organization
- PINK MOBILE LABS & DIAGNOSTICS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Monique Dennis
- Title
- Owner
- Phone
- (754) 300-9290
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | |||
| Nursing Care Agency | 251J00000X | |||
| Mobile Mammography Clinic/Center | 261QR0207X | Primary | ||
| Mobile Radiology Clinic/Center | 261QR0208X |
Addresses
Primary practice location
2820 NE 214TH St Unit 8TH
Aventura, FL 33180-1268
Mailing address
2820 NE 214TH St Unit 8TH
Aventura, FL 33180-1268
Phone (754) 300-9290
Other names 1
- CareSmart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251010000840 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 6002313475 | Practice locations: Aventura, FL |
National Provider Directory
National Provider Directory- Part of
- Pink Mobile Labs Diagnostics
Locations
2820 NE 214th St
Fl 8
Miami, FL 33180
Phone (516) 448-3074
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Jacksonville Beach, FL
- NPI 1922298868
-
- Family Nurse Practitioner
- Hialeah, FL
- NPI 1831801653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727049600000",
"number": "1699369405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 NE 214TH ST UNIT 8TH",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801268",
"telephone_number": "754-300-9290",
"fax_number": "754-220-9053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 NE 214TH ST UNIT 8TH",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801268",
"telephone_number": "754-300-9290",
"fax_number": "754-220-9053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINK MOBILE LABS & DIAGNOSTICS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PINK MOBILE LABS & DIAGNOSTICS",
"enumeration_date": "2021-02-22",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A",
"authorized_official_last_name": "DENNIS",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "MONIQUE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "754-300-9290"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0207X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile Mammography",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CareSmart",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CareSmart",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.