Organization Active NPI

Ultra Mobile X-Ray Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Hallandale Beach, FL
National Provider Identifier
1710982004
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
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

Updated by the provider on Sep 30, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
002725400MedicaidFL
630000808OtherFLRAILROAD

Other names 1

  • Ultra Mobile Imaging Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.