Organization Active NPI

International Surgical Training Inc.

  • Diagnostic Ultrasound Physician
  • Sunrise, FL
National Provider Identifier
1962649459
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
INTERNATIONAL SURGICAL TRAINING INC.
Practice address
4577 N Nob Hill Rd.
Suite 207
Sunrise, FL 33351-4712
Phone
(954) 747-9670
Fax
(954) 747-9673
NPI assigned
Jan 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Mrs. Nora Marvilli
Title
Owner
Phone
(954) 747-9670

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X Primary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

4577 N Nob Hill Rd.
Suite 207
Sunrise, FL 33351-4712

Mailing address

4577 N Nob Hill Rd.
Suite 207
Sunrise, FL 33351-4712
Phone (954) 747-9670

National Provider Directory

National Provider Directory

Locations

4577 N Nob Hill Rd
Ste 207
Sunrise, FL 33351
Phone (954) 474-5540

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1962649459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4577 N NOB HILL RD.",
            "address_2": "SUITE 207",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333514712",
            "telephone_number": "954-747-9670",
            "fax_number": "954-747-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4577 N NOB HILL RD.",
            "address_2": "SUITE 207",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333514712",
            "telephone_number": "954-747-9670",
            "fax_number": "954-747-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL SURGICAL TRAINING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "MARVILLI",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-747-9670",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.