MOBLIE DIAGNOSTIC IMAGING INC. (NPI# 1275532632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275532632 |
| Entity Type | Organization |
| Organization Name | MOBLIE DIAGNOSTIC IMAGING INC. |
| Practice Address |
12555 Orange Dr Suite 101 Davie FL 33330-4304 |
| Mailing Address |
Po Box 550819 Ft Lauderdale FL 33355-0819 |
| Practice Telephone | 9544525638 |
| Practice Fax Number | 9544525639 |
| Mailing Telephone | 9544525638 |
| Mailing Fax Number | 9544525639 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2016-05-06 |
| Authorized Official Name | MR. BRAD KANTOR (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9544525638 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
HCC6340 | FL | Ambulatory Health Care Facilities |
| Street Address |
12555 ORANGE DR SUITE 101 |
| City | DAVIE |
| State | FL |
| Zip Code | 33330-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578009510 | Elicia K Lowitz, Pa | Counselor | 12555 Orange Dr, Suite 265, Davie, FL 33330-4304 | 2017-01-15 |
| 1871038844 | Carole Flaster | Counselor | 12555 Orange Dr, Suite 111, Davie, FL 33330-4304 | 2016-12-30 |
| 1346797149 | Debra E. Rode Lmhc, LLC | Counselor | 12555 Orange Dr, Suite #267, Davie, FL 33330-4304 | 2016-09-08 |
| 1184029845 | Gina V Eaton, Lcsw, Pa | Clinic/Center | 12555 Orange Dr, Suite 215, Davie, FL 33330-4304 | 2014-10-23 |
| 1700204302 | Integrative Modality, Inc | Pharmacy | 12555 Orange Dr, #4079, Davie, FL 33330-4304 | 2014-04-01 |
| 1669896908 | Physicians Marketing Institute | Preferred Provider Organization | 12555 Orange Dr, Davie, FL 33330-4304 | 2014-02-06 |
| 1417371824 | Axis Financial Group | Preferred Provider Organization | 12555 Orange Dr, Davie, FL 33330-4304 | 2014-02-06 |
| 1689937955 | Lilpicassos,inc. | Developmental Therapist | 12555 Orange Dr, Suite 4022-a, Davie, FL 33330-4304 | 2012-06-20 |
| 1700159506 | Zangs Prosperity Oriental Medicine Inc | Acupuncturist | 12555 Orange Dr, Suite 115, Davie, FL 33330-4304 | 2012-02-10 |
| 1093087686 | Amedi Services, LLC | Durable Medical Equipment & Medical Supplies | 12555 Orange Dr, Suite 100b, Davie, FL 33330-4304 | 2012-01-30 |
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|---|---|---|---|---|
| 1245830595 | Community Children's Therapy, Inc | Developmental Therapist | 12353 Natalies Cove Rd, Cooper City, FL 33330 | 2020-10-27 |
| 1508365982 | Sun Coast Recovery Ranch LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Rd, Southwest Ranches, FL 33330 | 2018-02-12 |
| 1487153441 | Everglades Physicians Alliance LLC | Internal Medicine | 4745 Volunteer Road, Suite 301, Davie, FL 33330 | 2018-02-06 |
| 1639689532 | Tariq Azeez | Occupational Therapy Assistant | 4301 S Flamingo Road #101, Davie, FL 33330 | 2017-10-05 |
| 1497129597 | Right Path Recovery, LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Road, Southwest Ranches, FL 33330 | 2015-11-30 |
| 1104202878 | Meghan Ashley Oswain | Occupational Therapist | 3141 Sw 118 Terrace, Davie, FL 33330 | 2015-08-05 |
| 1588075089 | Nicole Santiago | Respiratory Therapist, Registered | 5117 Sw 122nd Terrace, Cooper City, FL 33330 | 2014-05-19 |
| 1205180171 | Richard L. Sherman, D.d.s. | Dentist | 4725 Sw 148 Ave. Suite 203, Davie, FL 33330 | 2012-10-31 |
| 1952612996 | Vikram V Thakar | Podiatrist | 11302 Sw 55 St, Cooper City, FL 33330 | 2010-06-24 |
| 1376875344 | Carlos E. Spera, Md, Pa | Clinic/Center | 12575 Orange Drive #303, Davie, FL 33330 | 2010-02-02 |
| Find all providers in zip 33330 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437770450 | Mobile Medical Scanner LLC | Clinic/Center | 3911 Sw 47th Ave Ste 901, Davie, FL 33314-2818 | 2020-04-30 |
| 1770802860 | Turnkey Mobile Diagnostics LLC | Clinic/Center | 12555 Orange Dr # 123, Davie, FL 33330-4304 | 2010-05-27 |
| 1578962429 | Clear Image Group Inc | Clinic/Center | 13762 W State Road 84, Suite198, Davie, FL 33325-5305 | 2014-08-16 |
| 1760716450 | Mdi Consulting Group, Inc. | Clinic/Center | 12555 Orange Dr, Suite 230, Davie, FL 33330-4304 | 2009-09-28 |
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| 1770066359 | S&s Life Scan Corp | Clinic/Center | 1118 Nw 124th Ct # 1118, Miami, FL 33182-2447 | 2018-09-10 |
| 1174017743 | National Medical Providers LLC | Clinic/Center | 11564 Puerto Blvd, Boynton Beach, FL 33437-4028 | 2018-06-18 |
| 1043720022 | Patient First Diagnostics | Clinic/Center | 575 Ne 5th Ter Apt 753, Fort Lauderdale, FL 33301-2170 | 2017-10-04 |
| 1922537489 | Portable Ultrasound Services Inc | Clinic/Center | 11021 Sw 44 Street, Miami, FL 33165 | 2017-06-08 |
| 1003343740 | Qualis Diagnostics LLC | Clinic/Center | 1900 N Bayshore Dr Ste 1a162, Miami, FL 33132-3001 | 2017-05-12 |
| 1114468402 | Navarro Mobile Imaging Corp. | Clinic/Center | 100 Bayview Drive, Apartment :211, Sunny Isles Beach, FL 33160-4781 | 2017-03-20 |
| 1760932727 | Ultra-dx, Inc | Clinic/Center | 222 Andalusia Dr, Palm Beach Gardens, FL 33418-1736 | 2016-10-13 |
| 1245693944 | Lobaton Herrera Associates | Clinic/Center | 12179 Nw 83rd Pl, Coral Springs, FL 33076-3492 | 2016-03-30 |
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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.