Organization Active NPI

Ultra-DX, Inc,

  • Mobile Radiology Clinic/Center
  • Palm Beach Gardens, FL
National Provider Identifier
1760932727
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
ULTRA-DX, INC,
Practice address
222 Andalusia Dr
Palm Beach Gardens, FL 33418-1736
Phone
(561) 676-5093
NPI assigned
Oct 13, 2016
Last updated
Oct 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Mr. Carl Gambino
Title
Ceo
Phone
(561) 676-5093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

222 Andalusia Dr
Palm Beach Gardens, FL 33418-1736

Mailing address

222 Andalusia Dr
Palm Beach Gardens, FL 33418-1736
Phone (561) 676-5093

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1760932727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ANDALUSIA DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181736",
            "telephone_number": "561-676-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ANDALUSIA DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181736",
            "telephone_number": "561-676-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA-DX, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "GAMBINO",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-676-5093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.