Mobile Imaging of St Lucie County Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MOBILE IMAGING OF ST LUCIE COUNTY INC

Practice address

120 66TH Ave SW
Vero Beach, FL 32968-9706

Phone

(772) 569-9729

Fax

(772) 569-2769

NPI assigned

Feb 10, 2010

Organization subpart

No

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

Authorized official

Name

Rosanna Crawford

Title

Owner

Phone

(772) 569-9729

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1710219167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 66TH AVE SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329689706",
            "telephone_number": "772-569-9729",
            "fax_number": "772-569-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 66TH AVE SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329689706",
            "telephone_number": "772-569-9729",
            "fax_number": "772-569-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE IMAGING OF ST LUCIE COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "ROSANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-569-9729"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "FL",
            "license": "HCC5034",
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda C Mitchell, PT
• Stephen James Mitchell
• Tonya Mitchell
• Deahlo Mizell Mizell, PHARMD
• Mobile Cardio LLC
• Mobile Imaging of St Lucie County Inc
• Jennifer Leigh Mobley
• Alexandra Nicole Moceri, OTR/L
• Linda A Monaldi, LMT
• Monica Shane Monroe, LMT

• Physiological Laboratory in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Physiological Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.