NPIMap

Organization Active NPI

MD Mobile Ultrasound LLC

  • Mobile Radiology Clinic/Center
  • Lakeland, FL
National Provider Identifier
1699607390
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
MD MOBILE ULTRASOUND LLC
Practice address
3625 New Jersey Rd Apt 142
Lakeland, FL 33803-7502
Phone
(863) 808-6108
NPI assigned
May 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Douglas Andres Calderon Rodriguez, RDCS ,RVTNPI 1467383141
Title
Owner
Phone
(863) 808-6108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

3625 New Jersey Rd Apt 142
Lakeland, FL 33803-7502

Mailing address

3625 New Jersey Rd Apt 142
Lakeland, FL 33803-7502
Phone (863) 808-6108

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.

NPI Registry JSON

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1699607390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 NEW JERSEY RD APT 142",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338037502",
            "telephone_number": "863-808-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 NEW JERSEY RD APT 142",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338037502",
            "telephone_number": "863-808-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD MOBILE ULTRASOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "CALDERON RODRIGUEZ",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-808-6108",
        "authorized_official_credential": "RDCS ,RVT"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.