NPIMap

Organization Active NPI

Mobile Medical Imaging LLC

  • Clinical Medical Laboratory
  • Naples, FL
National Provider Identifier
1902137904
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MOBILE MEDICAL IMAGING LLC
Practice address
7907 Founders Cir
Naples, FL 34104-5341
Phone
(239) 793-1790
Fax
(239) 793-1790
NPI assigned
Jan 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Mr. Bernard Charles Leclercq, RDCS
Title
President
Phone
(239) 793-1790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

7907 Founders Cir
Naples, FL 34104-5341

Mailing address

7907 Founders Cir
Naples, FL 34104-5341
Phone (239) 793-1790

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1902137904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7907 FOUNDERS CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341045341",
            "telephone_number": "239-793-1790",
            "fax_number": "239-793-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7907 FOUNDERS CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341045341",
            "telephone_number": "239-793-1790",
            "fax_number": "239-793-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "LECLERCQ",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-793-1790",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDCS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.