Mobile Imaging of St Lucie County Inc

Primary specialty

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

License

JR28288000 Issued in FL

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

Aug 9, 2005

Last updated

Oct 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rosanna Crawford, RN

Title

Owner

Phone

(772) 569-9729

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1750382198",
    "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": "2005-08-09",
        "last_updated": "2010-10-01",
        "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",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "FL",
            "license": "JR28288000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Summer Michelle Monroe, ARNP

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Vero Beach, FL
• Providers in Vero Beach, 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 Oct 1, 2010; 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.