Mobile PVD, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

MOBILE PVD, LLC

Practice address

3109 Stirling Rd
100-B
Fort Lauderdale, FL 33312-6558

Phone

(954) 315-2002

Fax

(954) 337-2402

NPI assigned

Feb 26, 2015

Organization subpart

No

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

Authorized official

Name

Matthew Rogers

Title

Ceo

Phone

(914) 912-8858

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1811389950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 STIRLING RD",
            "address_2": "100-B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126558",
            "telephone_number": "954-315-2002",
            "fax_number": "954-337-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 STIRLING RD",
            "address_2": "100-B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126558",
            "telephone_number": "954-315-2002",
            "fax_number": "954-337-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PVD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-912-8858"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina Alekseevna Mitianova
• Joanna Mitrega, CNM
• Neeta Mitroo, MD
• Michael T. Mizuta, CRNA
• Mobile Chiro Rehab, Inc.
• Raluca Mocanu
• Kohei Mochizuki, LMHC
• Jeremiah Model, LMHC
• Peter Modera, DPT
• Modern Physical Therapy

• Mobile Radiology Clinic/Center in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mobile Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.