Active NPI
Ultra Mobile X-Ray Inc
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Hallandale Beach, FL
National Provider Identifier
1710982004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- ULTRA MOBILE X-RAY INC
- Practice address
- 1001 N Federal Hwy
Suite 234
Hallandale Beach, FL 33009-2408 - Phone
- (954) 404-7815
- Fax
- (305) 887-7340
- NPI assigned
- Jun 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Muneer Hasan
- Title
- President
- Phone
- (773) 544-1249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | FL | Primary |
Addresses
Primary practice location
1001 N Federal Hwy
Suite 234
Hallandale Beach, FL 33009-2408
Mailing address
1001 N Federal Hwy
Suite 234
Hallandale Beach, FL 33009-2408
Phone (954) 404-7815
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002725400 | Medicaid | FL | |
| 630000808 | Other | FL | RAILROAD |
Other names 1
- Ultra Mobile Imaging
National Provider Directory
National Provider DirectoryLocations
1001 N Federal Hwy
Ste 234
Hallandale Beach, FL 33009
Phone (954) 404-7815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380499200000",
"number": "1710982004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 N FEDERAL HWY",
"address_2": "SUITE 234",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330092408",
"telephone_number": "954-404-7815",
"fax_number": "305-887-7340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N FEDERAL HWY",
"address_2": "SUITE 234",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330092408",
"telephone_number": "954-404-7815",
"fax_number": "305-887-7340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ULTRA MOBILE X-RAY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-14",
"last_updated": "2013-09-30",
"status": "A",
"authorized_official_last_name": "HASAN",
"authorized_official_first_name": "MUNEER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-544-1249"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002725400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "630000808",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ultra Mobile Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.