Active NPI
Mobile Quality Diagnostic Corp
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Hialeah, FL
National Provider Identifier
1861652125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- License
- HCC7302
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Hialeah, FL
- NPI 1104819648
6204729148
National Provider Directory
National Provider DirectoryLocations
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.
-
- Cardiovascular Disease Physician
- Miami, FL
- NPI 1639274426
-
- Diagnostic Radiology Physician
- North Bay Village, FL
- NPI 1245292259
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1326013319
-
- Cardiovascular Disease Physician
- Miami, FL
- NPI 1427141951
-
- Diagnostic Radiology Physician
- Boca Raton, FL
- NPI 1588611529
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.