DIAGNOSTIC MOBILE X-RAY INC (NPI# 1104923614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104923614 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC MOBILE X-RAY INC |
| Practice Address |
28100 Challenger Blvd Suite 112 Punta Gorda FL 33982 |
| Practice Telephone | 9416399729 |
| Practice Fax Number | 9416395100 |
| Mailing Telephone | 9416399729 |
| Mailing Fax Number | 9416395100 |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JONELL MELAINE GATZ (VICE PRESIDENT) |
| Authorized Official Telephone | 9416399729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295895282 | Diagnostic Mobile X-ray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 440 S Coltrane Rd, Edmond, OK 73034-6733 | 2006-12-11 |
| Street Address |
28100 CHALLENGER BLVD SUITE 112 |
| City | PUNTA GORDA |
| State | FL |
| Zip Code | 33982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437600160 | We Care In-home Services, Inc. | Home Health | 46990 Bermont Rd, Punta Gorda, FL 33982 | 2016-10-18 |
| 1790089035 | Catherine C Paradiso | Nurse Practitioner | 26601 Airport Rd, Punta Gorda, FL 33982 | 2010-12-30 |
| 1710193248 | Peter James Lallone | Pharmacist | 27680 Bermont Rd., Punta Gorda, FL 33982 | 2007-05-14 |
| 1700912698 | Niraj D Banjara | Pharmacist | 27680 Bermont Road, Punta Gorda, FL 33982 | 2007-02-26 |
| 1598848053 | Bruce D Macdonald | Radiology | 36261 Washington Loop Rd., Punta Gorda, FL 33982 | 2006-10-20 |
| 1205857679 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 27680 Bermont Rd, Punta Gorda, FL 33982 | 2006-07-21 |
| 1902909203 | Karen Lee Cantz | Pharmacy Technician | 27680 Bermont Rd, Punta Gorda, FL 33982 | 2006-09-06 |
| 1063054377 | John Archer LLC | Clinic/Center | 2013 River Basin Ter, Punta Gorda, FL 33982-1106 | 2019-10-09 |
| 1922561091 | Melissa Dieter | Physician Assistant | 29412 Taralane Dr, Punta Gorda, FL 33982-1209 | 2019-04-07 |
| 1841308046 | Christine Sue Smith | Nurse Practitioner | 29199 Livingston Dr, Punta Gorda, FL 33982-1212 | 2006-08-28 |
| Find all providers in zip 33982 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345932 | Housecallspinedoctor.com, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 221 W Hallandale Beach Blvd # 346, Hallandale Beach, FL 33009-5441 | 2020-08-07 |
| 1265065924 | Affordable Portable Ultrasound LLP | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1211 Tech Blvd Ste 114, Tampa, FL 33619-7846 | 2020-02-20 |
| 1467016725 | Rtm Billing Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 685 S Ronald Reagan Blvd Ste 205, Longwood, FL 32750-6435 | 2019-04-23 |
| 1174081889 | Spectrum Geotech LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3313 Bartlett Blvd, Orlando, FL 32811-6401 | 2019-03-12 |
| 1386123503 | Afily8 Government Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5371 Nw 32nd Ct, Margate, FL 33063-1504 | 2018-08-08 |
| 1780178947 | Diagnostic Alianza Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 8739 Sw 4th Ln, Miami, FL 33174-2438 | 2018-06-20 |
| 1407343031 | Imaging Health Solution LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6296 Corporate Ct Unit A201c, Fort Myers, FL 33919-3500 | 2018-04-19 |
| 1093211898 | Mobile Sound LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1774 Via Granada, Boynton Beach, FL 33426-8256 | 2018-04-02 |
| 1912409301 | Precision Medical Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5404 Gulfport Ter, Port Charlotte, FL 33981-2028 | 2018-03-01 |
| 1023540648 | Emerald Coast Medical Supplies LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 48 Bald Eagle Dr, Santa Rosa Beach, FL 32459 | 2017-04-02 |
| Find all providers with the same taxonomy | ||||
| City | PUNTA GORDA |
| Zip Code | 33982 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.