NPIMap

Organization Active NPI

USA Mobile Diagnostic, Inc.

  • Specialist
  • Ft Lauderdale, FL
National Provider Identifier
1770624546
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
USA MOBILE DIAGNOSTIC, INC.
Practice address
4021 N Andrews Ave Ste 6
Ft Lauderdale, FL 33309-5297
Phone
(954) 396-3908
Fax
(954) 568-0207
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sal J Pellegrino
Title
President
Phone
(954) 396-3908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4021 N Andrews Ave Ste 6
Ft Lauderdale, FL 33309-5297

Mailing address

4021 N Andrews Ave Ste 6
Ft Lauderdale, FL 33309-5297
Phone (954) 396-3908

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770624546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 N ANDREWS AVE STE 6",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333095297",
            "telephone_number": "954-396-3908",
            "fax_number": "954-568-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 N ANDREWS AVE STE 6",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333095297",
            "telephone_number": "954-396-3908",
            "fax_number": "954-568-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA MOBILE DIAGNOSTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINO",
        "authorized_official_first_name": "SAL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-396-3908"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.