Mobile Ekg

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

95714 Issued in PA

Legal business name

MOBILE EKG

Practice address

20281 Xita Ave
Port Charlotte, FL 33952-1234

Phone

(941) 979-9930

NPI assigned

Jan 21, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Michael Russell, PARAMEDICNPI 1073988739

Title

Ceo/Director

Phone

(941) 979-9930

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher M. Russell, EMT-PARAMEDIC

  • Other Specialist/Technologist
  • Port Charlotte, FL
  • NPI 1073988739
  NPD (past) Authorized official

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1720445786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20281 XITA AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339521234",
            "telephone_number": "941-979-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20281 XITA AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339521234",
            "telephone_number": "941-979-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE EKG",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "941-979-9930",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "PA",
            "license": "95714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahzaib Mirza, M.D.
• Savanna Misciagna, PA
• Mission Unity Inc
• Kristin Elizabeth Mitchell, MSN, FNP-C
• Jason M Mlnarik, DO
• Mobile NP LLC
• John E Moenning, M.D.
• Moideen M Moopen MD PA
• Molecular Imaging of Charlotte County, LLC
• David Molina Rios, M.D.

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.