Organization Active NPI

Pink Mobile Labs & Diagnostics

  • Mobile Mammography Clinic/Center
  • Aventura, FL
National Provider Identifier
1699369405
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Mammography Clinic/CenterTaxonomy code 261QR0207X
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 & DIAGNOSTICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

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.

Verify at the official NPI Registry.