Guardian Mobile Imaging

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

CRT 83448 Issued in FL

Legal business name

GUARDIAN MOBILE IMAGING

Practice address

1339 Bender Ave
Holly Hill, FL 32117-2122

Phone

(386) 589-9829

NPI assigned

Oct 6, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jeovanni Torres, CRT

Title

Owner

Phone

(386) 589-9829

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Keri Kathleen Rassi, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Flagler Beach, FL
  • NPI 1255702064
  NPD (past)

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1851794770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 BENDER AVE",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321172122",
            "telephone_number": "386-589-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 BENDER AVE",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321172122",
            "telephone_number": "386-589-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN MOBILE IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "JEOVANNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-589-9829",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "FL",
            "license": "CRT 83448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georges Simple Solutions Inc
• Kristin Gillis, PHARMD
• Alicia Graham
• Jennifer Leianne Gray
• Johnsie Carol Grigg, M.D.
• Halifax Senior Care Inc
• Harmony First Homecare LLC
• Gretchen Lorraine Harrington
• Cynthia Jean Harris-Maddox
• Charlene Theresa Hartley

• Mobile Radiology Clinic/Center in Holly Hill, FL
• Providers in Holly Hill, 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 Oct 6, 2014; 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.