Organization Active NPI

Mobile Quality Diagnostic Corp

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Hialeah, FL
National Provider Identifier
1861652125
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
HCC7302 Issued in FL
Legal business name
MOBILE QUALITY DIAGNOSTIC CORP
Practice address
1751 W 38 PL
Unit 1003a
Hialeah, FL 33012-7021
Phone
(305) 820-8720
Fax
(305) 820-8721
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Mr. Reynaldo Ortega, RT, RVS
Title
President
Phone
(305) 820-8720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X HCC7302 FL Primary

Addresses

Primary practice location

1751 W 38 PL
Unit 1003a
Hialeah, FL 33012-7021

Mailing address

1751 W 38TH PL
Unit 1003-a
Hialeah, FL 33012-7021
Phone (305) 820-8720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040717000004 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6204729148 Practice locations: Hialeah, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1751 W 38th Pl
Ste 1003A
Hialeah, FL 33012
Phone (305) 820-8720

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1861652125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 W 38TH PL",
            "address_2": "UNIT 1003-A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127021",
            "telephone_number": "305-820-8720",
            "fax_number": "305-820-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 W 38 PL",
            "address_2": "UNIT 1003A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127021",
            "telephone_number": "305-820-8720",
            "fax_number": "305-820-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE QUALITY DIAGNOSTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-820-8720",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT,  RVS"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "FL",
            "license": "HCC7302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.