Organization Active NPI

Mobile Diognostic Solutions LLC.

  • Electroneurodiagnostic Specialist/Technologist
  • Newburgh Heights, OH
National Provider Identifier
1952584047
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
MOBILE DIOGNOSTIC SOLUTIONS LLC.
Practice address
3695 Washington Park Blvd
Newburgh Heights, OH 44105-3177
Phone
(440) 781-7177
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Dr. Alex Juguilon
Title
Doctor
Phone
(440) 781-7077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

3695 Washington Park Blvd
Newburgh Heights, OH 44105-3177

Mailing address

3695 Washington Park Blvd
Newburgh Heights, OH 44105-3177
Phone (440) 781-7177

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1952584047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 WASHINGTON PARK BLVD",
            "city": "NEWBURGH HEIGHTS",
            "state": "OH",
            "postal_code": "441053177",
            "telephone_number": "440-781-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 WASHINGTON PARK BLVD",
            "city": "NEWBURGH HEIGHTS",
            "state": "OH",
            "postal_code": "441053177",
            "telephone_number": "440-781-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DIOGNOSTIC SOLUTIONS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "JUGUILON",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "440-781-7077",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.